Mrs Olayemi O Johnson, PMHNP in Upper Marlboro, MD

Mrs Olayemi O Johnson, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Upper Marlboro, Maryland. Her current practice location is 2901 Valerian Ln, Upper Marlboro, Maryland. You can reach out to her office (for appointments etc.) via phone at (240) 381-6576.

Mrs Olayemi O Johnson is licensed to practice in Maryland (license number R202160) 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 1003503103.

Contact Information

	Mrs Olayemi O Johnson, PMHNP
	2901 Valerian Ln, Upper Marlboro, MD 20774-9215
	(240) 381-6576
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Olayemi O Johnson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2901 Valerian Ln, Upper Marlboro, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003503103
Provider Enumeration Date: 04/19/2023
Last Update Date: 04/19/2023

Medicare PECOS Information:

PECOS PAC ID: 4880040955
Enrollment ID: I20231025002482

Medical Identifiers

Medical identifiers for Mrs Olayemi O Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003503103	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R202160 (Maryland)	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 Olayemi O Johnson allows following entities to bill medicare on her behalf.

Entity Name	Aldad Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174784953 PECOS PAC ID: 9234291436 Enrollment ID: O20081223000175

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 Olayemi O 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 Olayemi O Johnson, PMHNP 2901 Valerian Ln, Upper Marlboro, MD 20774-9215 Ph: (240) 381-6576	Mrs Olayemi O Johnson, PMHNP 2901 Valerian Ln, Upper Marlboro, MD 20774-9215 Ph: (240) 381-6576

Reviews and Comments

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Mrs Olayemi O Johnson, PMHNP - Medicare Nurse Practitioner in Upper Marlboro, MD