Mrs Lydia Zimmer Johnson, RN in Raleigh, NC - Medicare Nurse Practitioner

Mrs Lydia Zimmer Johnson, RN is a medicare enrolled "Nurse Practitioner" in Raleigh, North Carolina. She went to University Of South Alabama College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Triangle Wellness And Recovery Pllc and her current practice location is 5613 Duraleigh Rd, Suite 101, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 782-4597.

Mrs Lydia Zimmer Johnson is licensed to practice in North Carolina (license number 5011443) 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 1255750626.

Contact Information

	Mrs Lydia Zimmer Johnson, RN
	5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694
	(919) 782-4597
	(919) 784-0089

Map and Direction

Provider's Profile

Full Name	Mrs Lydia Zimmer Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	5613 Duraleigh Rd, Raleigh, North Carolina
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 Lydia Zimmer Johnson attended and graduated from University Of South Alabama College Of Medicine in 2018

NPI Data:

NPI Number: 1255750626
Provider Enumeration Date: 04/14/2014
Last Update Date: 09/19/2024

Medicare PECOS Information:

PECOS PAC ID: 2769723378
Enrollment ID: I20190409001269

Medical Identifiers

Medical identifiers for Mrs Lydia Zimmer Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255750626	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5011443 (North Carolina)	Primary
163W00000X	Registered Nurse	261954 (North Carolina)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	5011443 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Triangle Wellness And Recovery Pllc	8527496009	2

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 Lydia Zimmer Johnson allows following entities to bill medicare on her behalf.

Entity Name	Doctors Making Housecalls Internal Medicine Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083854897 PECOS PAC ID: 3870647639 Enrollment ID: O20140415001230

Entity Name	Triangle Wellness & Recovery Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003375346 PECOS PAC ID: 8527496009 Enrollment ID: O20200316001768

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 Lydia Zimmer 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 Lydia Zimmer Johnson, RN 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 Ph: (919) 782-4597	Mrs Lydia Zimmer Johnson, RN 5613 Duraleigh Rd, Suite 101, Raleigh, NC 27612-2694 Ph: (919) 782-4597

Reviews and Comments

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Mrs Lydia Zimmer Johnson, RN - Medicare Nurse Practitioner in Raleigh, NC