Mrs Angel Madolid Johnson, ANP-BC in Glendale, AZ

Mrs Angel Madolid Johnson, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Glendale, Arizona. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Leading Healthcare Clinic Of Goodyear, Llc and her current practice location is 17218 N 72nd Dr, Suite #100, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (623) 334-8670.

Mrs Angel Madolid Johnson is licensed to practice in Arizona (license number AP4112) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1144508466.

Contact Information

	Mrs Angel Madolid Johnson, ANP-BC
	17218 N 72nd Dr, Suite #100, Glendale, AZ 85308-8580
	(623) 334-8670
	(623) 334-8675

Map and Direction

Provider's Profile

Full Name	Mrs Angel Madolid Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	17218 N 72nd Dr, Glendale, Arizona
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Angel Madolid Johnson graduated from nursing school in 2014

NPI Data:

NPI Number: 1144508466
Provider Enumeration Date: 08/03/2011
Last Update Date: 04/04/2019

Medicare PECOS Information:

PECOS PAC ID: 8729252184
Enrollment ID: I20111121000409

Medical Identifiers

Medical identifiers for Mrs Angel Madolid Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144508466	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	AP4112 (Arizona)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Leading Healthcare Clinic Of Goodyear, Llc	7315377371	8

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. Mrs Angel Madolid Johnson allows following entities to bill medicare on her behalf.

Entity Name	Leading Healthcare, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356853691 PECOS PAC ID: 1850652496 Enrollment ID: O20180222002817

Entity Name	Raghav Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598125791 PECOS PAC ID: 2466709274 Enrollment ID: O20180725002648

Entity Name	Leading Healthcare Clinic Of Goodyear, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902448566 PECOS PAC ID: 7315377371 Enrollment ID: O20200415002967

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. Mrs Angel Madolid Johnson 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
Mrs Angel Madolid Johnson, ANP-BC 12361 W Bola Dr, Ste 109, Surprise, AZ 85378-9021 Ph: (623) 227-1000	Mrs Angel Madolid Johnson, ANP-BC 17218 N 72nd Dr, Suite #100, Glendale, AZ 85308-8580 Ph: (623) 334-8670

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

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Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Mrs Angel Madolid Johnson, ANP-BC - Medicare Nurse Practitioner in Glendale, AZ