Mrs P Curly Johnson, FNP-C in Stockton, CA - Medicare Nurse Practitioner

Mrs P Curly Johnson, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Stockton, California. Her current practice location is 1839 S El Dorado St, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 466-4200.

Mrs P Curly Johnson is licensed to practice in California (license number 95012302) 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 1235770165.

Contact Information

	Mrs P Curly Johnson, FNP-C
	1839 S El Dorado St, Stockton, CA 95206-2025
	(209) 466-4200
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs P Curly Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1839 S El Dorado St, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235770165
Provider Enumeration Date: 10/02/2019
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 2860826161
Enrollment ID: I20191219000906

Medical Identifiers

Medical identifiers for Mrs P Curly Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235770165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95012302 (California)	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 P Curly Johnson allows following entities to bill medicare on her behalf.

Entity Name	Surgical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366824161 PECOS PAC ID: 6002110814 Enrollment ID: O20160215001177

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 P Curly 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 P Curly Johnson, FNP-C Po Box 471, Copperopolis, CA 95228-0471 Ph: (209) 785-0963	Mrs P Curly Johnson, FNP-C 1839 S El Dorado St, Stockton, CA 95206-2025 Ph: (209) 466-4200

Reviews and Comments

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Mrs P Curly Johnson, FNP-C - Medicare Nurse Practitioner in Stockton, CA