Mrs Courtney D Johnson, FNP-C in Grand Prairie, TX

Mrs Courtney D Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Grand Prairie, Texas. Her current practice location is 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 522-7778.

Mrs Courtney D Johnson is licensed to practice in Texas (license number AP125575) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831521426.

Contact Information

	Mrs Courtney D Johnson, FNP-C
	4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052-1707
	(972) 522-7778
	(972) 522-7779

Map and Direction

Provider's Profile

Full Name	Mrs Courtney D Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4560 Lake Ridge Pkwy Ste 110, Grand Prairie, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831521426
Provider Enumeration Date: 08/06/2013
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 3476876822
Enrollment ID: I20141216001872

Medical Identifiers

Medical identifiers for Mrs Courtney D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831521426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP125575 (Texas)	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. Mrs Courtney D Johnson allows following entities to bill medicare on her behalf.

Entity Name	Medhealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912957200 PECOS PAC ID: 9931001567 Enrollment ID: O20040123000832

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 Courtney D 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 Courtney D Johnson, FNP-C 1237 Roan Dr, Lancaster, TX 75134-2356 Ph: (601) 807-8663	Mrs Courtney D Johnson, FNP-C 4560 Lake Ridge Pkwy Ste 110, Grand Prairie, TX 75052-1707 Ph: (972) 522-7778

Reviews and Comments

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Mrs Courtney D Johnson, FNP-C - Medicare Nurse Practitioner in Grand Prairie, TX