Ms Kathryn Johnson Iv, NURSE PRACTITIONER - Medicare Nurse Practitioner in Medfield, MA

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Ms Kathryn Johnson Iv, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Medfield, Massachusetts. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Minuteclinic Diagnostic Of Massachusetts, Llc, Integrated Psych Services Pllc and her current practice location is 555 Main St, Medfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 359-7783.

Ms Kathryn Johnson Iv is licensed to practice in Massachusetts (license number 232769) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396899001.

Contact Information

Ms Kathryn Johnson Iv, NURSE PRACTITIONER
555 Main St,
Medfield, MA 02052-2520
(508) 359-7783
Not Available

Map and Direction




Provider's Profile

Full NameMs Kathryn Johnson Iv
GenderFemale
SpecialityNurse Practitioner
Experience19 Years
Location555 Main St, Medfield, Massachusetts
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Kathryn Johnson Iv graduated from nursing school in 2005
  NPI Data:
  • NPI Number: 1396899001
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 02/16/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3678755113
  • Enrollment ID: I20110304000545

Medical Identifiers

Medical identifiers for Ms Kathryn Johnson Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396899001NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 232769 (Massachusetts)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Minuteclinic Diagnostic Of Massachusetts, Llc2264594944115
Integrated Psych Services Pllc90325124965

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 Kathryn Johnson Iv allows following entities to bill medicare on her behalf.
Entity NameMinuteclinic Diagnostic Of Massachusetts, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457470858
PECOS PAC ID: 2264594944
Enrollment ID: O20081215000803
Entity NameMinuteclinic Diagnostic Of Massachusetts, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457470858
PECOS PAC ID: 2264594944
Enrollment ID: O20081216000739
Entity NameIntegrated Psych Services Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841883873
PECOS PAC ID: 9032512496
Enrollment ID: O20210722000720

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 Kathryn Johnson Iv 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 Kathryn Johnson Iv, NURSE PRACTITIONER
555 Main St,
Medfield, MA 02052-2520

Ph: (508) 359-7783		Ms Kathryn Johnson Iv, NURSE PRACTITIONER
555 Main St,
Medfield, MA 02052-2520

Ph: (508) 359-7783

Reviews and Comments


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Mrs. Lisa Rivers, NP
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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.