Mr Windell Lamont Johnson Sr, FNP in Pine Bluff, AR

Mr Windell Lamont Johnson Sr, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Pine Bluff, Arkansas. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. His current practice location is 1401 S State St Ste C, Pine Bluff, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 534-5523.

Mr Windell Lamont Johnson Sr is licensed to practice in Arkansas (license number 124247) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1245877224.

Contact Information

	Mr Windell Lamont Johnson Sr, FNP
	1401 S State St Ste C, Pine Bluff, AR 71601-5827
	(870) 534-5523
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Windell Lamont Johnson Sr
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	1401 S State St Ste C, Pine Bluff, Arkansas
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Windell Lamont Johnson Sr graduated from nursing school in 2019

NPI Data:

NPI Number: 1245877224
Provider Enumeration Date: 12/09/2019
Last Update Date: 08/24/2021

Medicare PECOS Information:

PECOS PAC ID: 6800285925
Enrollment ID: I20211111001006

Medical Identifiers

Medical identifiers for Mr Windell Lamont Johnson Sr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245877224	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	124247 (Arkansas)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	124247 (Arkansas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Jefferson Regional Medical Center	Pine bluff, AR	Hospital

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 Windell Lamont Johnson Sr allows following entities to bill medicare on his behalf.

Entity Name	Lee A. Davis, Jr, Md, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659389278 PECOS PAC ID: 4082791652 Enrollment ID: O20080407000321

Entity Name	Abdul Ezeldin M.d. P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164709036 PECOS PAC ID: 2769640168 Enrollment ID: O20120214000636

Entity Name	Windell Johnson, P. A.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881204758 PECOS PAC ID: 6507243870 Enrollment ID: O20220509000107

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 Windell Lamont Johnson Sr 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 Windell Lamont Johnson Sr, FNP 7604 Toltec Dr, North Little Rock, AR 72116-4586 Ph: (501) 618-5317	Mr Windell Lamont Johnson Sr, FNP 1401 S State St Ste C, Pine Bluff, AR 71601-5827 Ph: (870) 534-5523

Reviews and Comments

Nurse Practitioner Nurses in Pine Bluff, AR

Mrs. Debra Venola Davis, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3104 S Catalpa St Ste 9, Pine Bluff, AR 71603 Phone: 870-718-2822
Mrs. Diana Gray Millenbaugh, MSN, RNP, BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3801 Camden Rd Ste 12, Pine Bluff, AR 71603 Phone: 870-534-4847 Fax: 870-534-4884
Mrs. Lillian Jynes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 209 N Blake St, Pine Bluff, AR 71601 Phone: 870-536-6600
Dr. Michelle Leigh Bagby, DNP, FNP-C, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2906 Market St, Pine Bluff, AR 71601 Phone: 870-850-8200 Fax: 870-850-8424
Collene Rogers, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1609 W 40th Ave Ste 205, Pine Bluff, AR 71603 Phone: 870-541-7211
Ms. Ernice Lashette Rogers, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2306 Rike Dr, Pine Bluff, AR 71603 Phone: 870-535-2142
Cornelia Rhodes, APRN-CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2410 W 24th Ave, Pine Bluff, AR 71603 Phone: 870-267-4912

Mr Windell Lamont Johnson Sr, FNP - Medicare Nurse Practitioner in Pine Bluff, AR