Mrs Kristin M Johnson, NP in Tell City, IN - Medicare Nurse Practitioner

Mrs Kristin M Johnson, NP is a medicare enrolled "Nurse Practitioner - Family" in Tell City, Indiana. Her current practice location is 211 Us Highway 66 E, Tell City, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 979-2136.

Mrs Kristin M Johnson is licensed to practice in Indiana (license number 28150798A) 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 1003165275.

Contact Information

	Mrs Kristin M Johnson, NP
	211 Us Highway 66 E, Tell City, IN 47586-2757
	(812) 979-2136
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kristin M Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	211 Us Highway 66 E, Tell City, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003165275
Provider Enumeration Date: 09/04/2012
Last Update Date: 08/09/2023

Medicare PECOS Information:

PECOS PAC ID: 7911151238
Enrollment ID: I20130213000454

Medical Identifiers

Medical identifiers for Mrs Kristin M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003165275	NPI	-	NPPES
100246550A	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28150798A (Indiana)	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 Kristin M Johnson allows following entities to bill medicare on her behalf.

Entity Name	Fast Pace Medical Clinic Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649770769 PECOS PAC ID: 5395881841 Enrollment ID: O20200827001491

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 Kristin M 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 Kristin M Johnson, NP Po Box 306417, Nashville, TN 37230-6417 Ph: (931) 253-1110	Mrs Kristin M Johnson, NP 211 Us Highway 66 E, Tell City, IN 47586-2757 Ph: (812) 979-2136

Reviews and Comments

Nurse Practitioner Nurses in Tell City, IN

Melissa Breitweiser, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 109 Us Highway 66 E, Tell City, IN 47586 Phone: 812-547-3447 Fax: 812-547-9543
Kayla Lawalin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 148 13th St, Tell City, IN 47586 Phone: 812-547-9661
Kandi M Weber, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 421 7th St, Tell City, IN 47586 Phone: 812-547-0475 Fax: 812-547-1300
Illia Mai Leibering, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8735 State Road 37 Ste B, Tell City, IN 47586 Phone: 812-547-9663 Fax: 812-772-2871
Mrs. Shauna L Gish, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Us Highway 66 E, Tell City, IN 47586 Phone: 812-919-2136
Mrs. Amber Nicole Anderson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 109 Us Highway 66 E, Tell City, IN 47586 Phone: 812-547-3447 Fax: 812-547-9543

Mrs Kristin M Johnson, NP - Medicare Nurse Practitioner in Tell City, IN