Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC in Eastpointe, MI

Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Eastpointe, Michigan. Her current practice location is 17200 E 10 Mile Rd, Eastpointe, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 731-2719.

Mrs Tiffany Shandrea Johnson is licensed to practice in Michigan (license number 4704282282) 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 1730572660.

Contact Information

	Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC
	17200 E 10 Mile Rd, Eastpointe, MI 48021-3355
	(313) 731-2719
	(336) 654-0824

Map and Direction

Provider's Profile

Full Name	Mrs Tiffany Shandrea Johnson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	17200 E 10 Mile Rd, Eastpointe, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730572660
Provider Enumeration Date: 03/17/2015
Last Update Date: 09/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2365763950
Enrollment ID: I20150720000074

Medical Identifiers

Medical identifiers for Mrs Tiffany Shandrea Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730572660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704282282 (Michigan)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4704282282 (Michigan)	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 Tiffany Shandrea Johnson allows following entities to bill medicare on her behalf.

Entity Name	Team Mental Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588855100 PECOS PAC ID: 2264451830 Enrollment ID: O20081030000384

Entity Name	Vps Of Mi Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164873691 PECOS PAC ID: 1052603297 Enrollment ID: O20160708001747

Entity Name	Allcare Housecalls Staffing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134658446 PECOS PAC ID: 7618248311 Enrollment ID: O20170728002214

Entity Name	Barlow Professional Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669906988 PECOS PAC ID: 9931538980 Enrollment ID: O20200326002843

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 Tiffany Shandrea 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 Tiffany Shandrea Johnson, FNP-C, PMHNP-BC 11305 Pierson St, Detroit, MI 48228-1247 Ph: (248) 798-7820	Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC 17200 E 10 Mile Rd, Eastpointe, MI 48021-3355 Ph: (313) 731-2719

Reviews and Comments

Nurse Practitioner Nurses in Eastpointe, MI

Neha Russo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21300 Kelly Rd, Eastpointe, MI 48021 Phone: 586-447-4200
Miss Navdeep Kaur Pabla, RN BSN MSN NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 24815 Ridgecroft Ave, Eastpointe, MI 48021 Phone: 586-420-0369 Fax: 586-420-0369
Katarzyna Noelle Brock, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19070 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 586-445-0177 Fax: 585-773-1385
Mrs. Leann Nicole Munaco, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 21300 Kelly Rd, Eastpointe, MI 48021 Phone: 586-447-4200 Fax: 586-447-4208
Colleen Miller, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17000 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 586-563-5555 Fax: 586-563-1778
Mrs. Andrea D Zinke, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 24901 Kelly Rd, Eastpointe, MI 48021 Phone: 586-772-9055 Fax: 586-772-0543
Barbara J. Dalziel, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 17200 E 10 Mile Rd, Eastpointe, MI 48021 Phone: 586-859-7455 Fax: 586-859-7454

Mrs Tiffany Shandrea Johnson, FNP-C, PMHNP-BC - Medicare Nurse Practitioner in Eastpointe, MI