Mrs Tialicka Burgos Johnson, RNC-OB in Travis Afb, CA

Mrs Tialicka Burgos Johnson, RNC-OB is a medicare enrolled "Nurse Practitioner - Women's Health" in Travis Afb, California. Her current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (707) 423-5311.

Mrs Tialicka Burgos Johnson is licensed to practice in Virginia (license number 24176717) 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 1891159463.

Contact Information

	Mrs Tialicka Burgos Johnson, RNC-OB
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-5311
	(707) 423-4356

Map and Direction

Provider's Profile

Full Name	Mrs Tialicka Burgos Johnson
Gender	Female
Speciality	Nurse Practitioner - Women's Health
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891159463
Provider Enumeration Date: 04/11/2016
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 3072918911
Enrollment ID: I20210816003163

Medical Identifiers

Medical identifiers for Mrs Tialicka Burgos Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891159463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LW0102X	Nurse Practitioner - Women's Health	24176717 (Virginia)	Primary

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 Tialicka Burgos 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 Tialicka Burgos Johnson, RNC-OB 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5311	Mrs Tialicka Burgos Johnson, RNC-OB 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5311

Reviews and Comments

Nurse Practitioner Nurses in Travis Afb, CA

Brandy J Ellis, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 333 Missouri Way, Travis Afb, CA 94535 Phone: 478-235-4354
Samantha Obrien, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5124
Ann Marie Zenobia, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7927
Yardana Gill, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 101 Bodin Cir Bldg 777, Travis Afb, CA 94535 Phone: 707-423-2300 Fax: 707-423-3357
Mrs. Nicole Ivy-kutzler, WHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-816-7894
Zlatoslava Karga, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60mdg / Sgow, 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5174
Leslie A Christopher, WHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Circle, Travis Afb, CA 94535 Phone: 707-423-5311

Mrs Tialicka Burgos Johnson, RNC-OB - Medicare Nurse Practitioner in Travis Afb, CA