Ms Ebony Tasha Johnson, APRN - Medicare Nurse Practitioner in East Haven, CT

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Ms Ebony Tasha Johnson, APRN is a medicare enrolled "Nurse Practitioner - Family" in East Haven, Connecticut. Her current practice location is 444 Foxon Rd, East Haven, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 533-5911.

Ms Ebony Tasha Johnson is licensed to practice in Connecticut (license number 7774) 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 1174004782.

Contact Information

Ms Ebony Tasha Johnson, APRN
444 Foxon Rd,
East Haven, CT 06513-2037
(203) 533-5911
(475) 238-6372

Map and Direction




Provider's Profile

Full NameMs Ebony Tasha Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location444 Foxon Rd, East Haven, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174004782
  • Provider Enumeration Date: 08/22/2018
  • Last Update Date: 02/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 0446501936
  • Enrollment ID: I20180921002456

Medical Identifiers

Medical identifiers for Ms Ebony Tasha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174004782NPI-NPPES
008082536MedicaidCT
7774OtherCTAPRN LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 7774 (Connecticut)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 Ebony Tasha Johnson allows following entities to bill medicare on her behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015
Entity NameGps Physician Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881109452
PECOS PAC ID: 9739447400
Enrollment ID: O20180206000646
Entity NameCaremore Medical Associates Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730697483
PECOS PAC ID: 6406010552
Enrollment ID: O20220824000466

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 Ebony Tasha 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 AddressPractice Location Address
Ms Ebony Tasha Johnson, APRN
444 Foxon Rd,
East Haven, CT 06513-2037

Ph: (203) 533-5911		Ms Ebony Tasha Johnson, APRN
444 Foxon Rd,
East Haven, CT 06513-2037

Ph: (203) 533-5911

Reviews and Comments


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Mrs. Domanice Poindexter, ACNPC-AG
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Phone: 203-533-5911    Fax: 475-238-6372
Linda Grisgraber, APRN
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Practice Location: 310 Main St, Lowr Level, East Haven, CT 06512
Phone: 203-556-5225    Fax: 203-494-7126

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.