Mrs Sue Ann Johnson, FNP in San Tan Valley, AZ

Mrs Sue Ann Johnson, FNP is a medicare enrolled "Nurse Practitioner - Primary Care" in San Tan Valley, Arizona. Her current practice location is 37100 N Gantzel Rd Ste 201, San Tan Valley, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 394-4469.

Mrs Sue Ann Johnson is licensed to practice in Arizona (license number 288408) 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 1356030902.

Contact Information

	Mrs Sue Ann Johnson, FNP
	37100 N Gantzel Rd Ste 201, San Tan Valley, AZ 85140-7352
	(480) 394-4469
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Sue Ann Johnson
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	37100 N Gantzel Rd Ste 201, San Tan Valley, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356030902
Provider Enumeration Date: 05/01/2023
Last Update Date: 05/01/2023

Medicare PECOS Information:

PECOS PAC ID: 2668832221
Enrollment ID: I20230714002241

Medical Identifiers

Medical identifiers for Mrs Sue Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356030902	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	288408 (Arizona)	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 Sue Ann Johnson allows following entities to bill medicare on her behalf.

Entity Name	Banner Primary Care Physicians Arizona Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417238908 PECOS PAC ID: 6406020155 Enrollment ID: O20111115000898

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 Sue Ann 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 Sue Ann Johnson, FNP 5698 W Sand Ct, San Tan Valley, AZ 85142-3166 Ph: (520) 509-5544	Mrs Sue Ann Johnson, FNP 37100 N Gantzel Rd Ste 201, San Tan Valley, AZ 85140-7352 Ph: (480) 394-4469

Reviews and Comments

Nurse Practitioner Nurses in San Tan Valley, AZ

Laura Babb, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy, Suite 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-677-8283
Paige Figa Church, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282 Fax: 480-535-0962
Lisa Wakefield, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1148 W Fruit Tree Ln, San Tan Valley, AZ 85143 Phone: 313-478-8274
Christina Joyave, AGNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37100 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-821-3616
John Cruz Ortiz Jr., ACNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 37000 N Gantzel Rd, San Tan Valley, AZ 85140 Phone: 480-394-4000
Tara L Luke, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 287 E Hunt Hwy Ste 105, San Tan Valley, AZ 85143 Phone: 480-677-8282
Andrea Zander, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 36351 N Gantzel Rd Ste 127-128, San Tan Valley, AZ 85140 Phone: 480-336-2815

Mrs Sue Ann Johnson, FNP - Medicare Nurse Practitioner in San Tan Valley, AZ