Ms Christine Johnson, APN in Forest Park, IL - Medicare Nurse Practitioner

Ms Christine Johnson, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Forest Park, Illinois. Her current practice location is 8311 Roosevelt Rd, Forest Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 771-7000.

Ms Christine Johnson is licensed to practice in Illinois (license number 209008950) 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 1750661112.

Contact Information

	Ms Christine Johnson, APN
	8311 Roosevelt Rd, Forest Park, IL 60130-2529
	(708) 771-7000
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Christine Johnson
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	8311 Roosevelt Rd, Forest Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1750661112
Provider Enumeration Date: 08/17/2011
Last Update Date: 06/14/2022

Medicare PECOS Information:

PECOS PAC ID: 1456525542
Enrollment ID: I20111130000324

Medical Identifiers

Medical identifiers for Ms Christine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750661112	NPI	-	NPPES
IL5686035	Other	IL	MEDICARE PTAN
PAYEE 2	Medicaid	IL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209008950 (Illinois)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	209008950 (Illinois)	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. Ms Christine Johnson allows following entities to bill medicare on her behalf.

Entity Name	Central Dupage Physician Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601

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. Ms Christine 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
Ms Christine Johnson, APN 4007 Juneberry Rd, Naperville, IL 60564-7153 Ph: (815) 557-9191	Ms Christine Johnson, APN 8311 Roosevelt Rd, Forest Park, IL 60130-2529 Ph: (708) 771-7000

Reviews and Comments

Nurse Practitioner Nurses in Forest Park, IL

Mrs. Dawn T Bounds, PMHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8311 W. Roosevelt Road, Forest Park, IL 60130 Phone: 630-505-0300 Fax: 630-836-0667
Chibuzor Anyanwu, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000
Jocelyn Wynveen, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7236 Madison St, Forest Park, IL 60130 Phone: 847-650-9026
Ms. Shelley Joy Bagri, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 431 Marengo Ave, Forest Park, IL 60130 Phone: 708-305-5333
Dr. Daniel P Boffa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7212 Franklin St, Forest Park, IL 60130 Phone: 708-288-7784
Kimberly C Anderegg, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7601 Madison St Ste E, Forest Park, IL 60130 Phone: 312-970-1125
Nicole Naglich, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8311 Roosevelt Rd, Forest Park, IL 60130 Phone: 708-771-7000

Ms Christine Johnson, APN - Medicare Nurse Practitioner in Forest Park, IL