Mr Walter L Johnston, in Sikeston, MO - Medicare Nurse Practitioner

Mr Walter L Johnston, is a medicare enrolled "Nurse Practitioner - Family" in Sikeston, Missouri. His current practice location is 1008 N Main St, Sikeston, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 472-6003.

Mr Walter L Johnston is licensed to practice in Missouri (license number 2002018631) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215163498.

Contact Information

	Mr Walter L Johnston,
	1008 N Main St, Sikeston, MO 63801-5044
	(573) 472-6003
	(573) 472-6006

Map and Direction

Provider's Profile

Full Name	Mr Walter L Johnston
Gender	Male
Speciality	Nurse Practitioner - Family
Location	1008 N Main St, Sikeston, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215163498
Provider Enumeration Date: 06/02/2009
Last Update Date: 04/01/2014

Medicare PECOS Information:

PECOS PAC ID: 7214067800
Enrollment ID: I20100608000578

Medical Identifiers

Medical identifiers for Mr Walter L Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215163498	NPI	-	NPPES
1215163498	Medicaid	MO
A03110	Other	MO	HEALTHLINK
177521	Other	MO	HEALTH ALLIANCE
1215163498	Medicaid	IL
1215163498	Other	MO	TRIWEST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	2002018631 (Missouri)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Walter L Johnston allows following entities to bill medicare on his behalf.

Entity Name	Missouri Delta Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508967860 PECOS PAC ID: 1355252891 Enrollment ID: O20040308001306

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Walter L Johnston is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Walter L Johnston, 1008 N Main St, Sikeston, MO 63801-5044 Ph: (573) 472-6003	Mr Walter L Johnston, 1008 N Main St, Sikeston, MO 63801-5044 Ph: (573) 472-6003

Reviews and Comments

Nurse Practitioner Nurses in Sikeston, MO

Brittany Lynn Delaughter, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461
Erica Leigh Wilson, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-472-7275
Danielle E Jansen, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-1560
Lauren Ashley Bissonnette, RN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-481-5017
Kelly Ann Jackson, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 N Main St, Sikeston, MO 63801 Phone: 573-471-0330 Fax: 573-471-0461
Margaret Rachel Coppage, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1008 N Main St, Sikeston, MO 63801 Phone: 573-472-6001 Fax: 573-472-6006
Mrs. Heather Elizabeth Polk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 200 Southland Dr, Sikeston, MO 63801 Phone: 573-472-1770 Fax: 573-472-4050

Mr Walter L Johnston, - Medicare Nurse Practitioner in Sikeston, MO