Ms Randi Yvonne Johnson, RN, MSN, FNP-BC in Philadelphia, PA

Ms Randi Yvonne Johnson, RN, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Philadelphia, Pennsylvania. Her current practice location is 4190 City Ave, Ste 315, Philadelphia, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (215) 871-6844.

Ms Randi Yvonne Johnson is licensed to practice in Pennsylvania (license number SP010221) 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 1225279714.

Contact Information

	Ms Randi Yvonne Johnson, RN, MSN, FNP-BC
	4190 City Ave, Ste 315, Philadelphia, PA 19131-1626
	(215) 871-6844
	(215) 874-6932

Map and Direction

Provider's Profile

Full Name	Ms Randi Yvonne Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4190 City Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225279714
Provider Enumeration Date: 03/13/2009
Last Update Date: 07/29/2016

Medicare PECOS Information:

PECOS PAC ID: 7315004694
Enrollment ID: I20090401000298

Medical Identifiers

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

Identifier	Type	State	Issuer
1225279714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	SP010221 (Pennsylvania)	Secondary
163WG0600X	Registered Nurse - Gerontology	SP010221 (Pennsylvania)	Secondary
163WH0200X	Registered Nurse - Home Health	SP010221 (Pennsylvania)	Secondary
363LF0000X	Nurse Practitioner - Family	SP010221 (Pennsylvania)	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 Randi Yvonne Johnson allows following entities to bill medicare on her behalf.

Entity Name	Philadelphia College Of Osteopathic Medicine
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881635704 PECOS PAC ID: 0648179234 Enrollment ID: O20040114000179

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 Randi Yvonne 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 Randi Yvonne Johnson, RN, MSN, FNP-BC Po Box 824112, Philadelphia, PA 19182-4112 Ph: (215) 871-6844	Ms Randi Yvonne Johnson, RN, MSN, FNP-BC 4190 City Ave, Ste 315, Philadelphia, PA 19131-1626 Ph: (215) 871-6844

Reviews and Comments

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Ms Randi Yvonne Johnson, RN, MSN, FNP-BC - Medicare Nurse Practitioner in Philadelphia, PA