Ms Stacy Ann Johnson, RN in Rochester, NY - Medicare Nurse Practitioner

Ms Stacy Ann Johnson, RN is a medicare enrolled "Nurse Practitioner - Adult Health" in Rochester, New York. Her current practice location is 1415 Portland Ave Ste 200, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at (585) 922-0390.

Ms Stacy Ann Johnson is licensed to practice in New York (license number 309651) 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 1083967616.

Contact Information

	Ms Stacy Ann Johnson, RN
	1415 Portland Ave Ste 200, Rochester, NY 14621-3022
	(585) 922-0390
	(585) 922-0395

Map and Direction

Provider's Profile

Full Name	Ms Stacy Ann Johnson
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	1415 Portland Ave Ste 200, Rochester, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083967616
Provider Enumeration Date: 10/19/2012
Last Update Date: 02/01/2023

Medicare PECOS Information:

PECOS PAC ID: 7618379561
Enrollment ID: I20210714002360

Medical Identifiers

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

Identifier	Type	State	Issuer
1083967616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	309651 (New York)	Primary
163W00000X	Registered Nurse	577104 (New York)	Secondary

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 Stacy Ann Johnson allows following entities to bill medicare on her behalf.

Entity Name	The Unity Hospital Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038

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 Stacy Ann 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 Stacy Ann Johnson, RN 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (585) 368-4050	Ms Stacy Ann Johnson, RN 1415 Portland Ave Ste 200, Rochester, NY 14621-3022 Ph: (585) 922-0390

Reviews and Comments

Nurse Practitioner Nurses in Rochester, NY

Sarah Anne Rossi, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 652, Rochester, NY 14642 Phone: 585-279-5100
Mrs. Anne Scherberger Keefer, RN NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 601 Elmwood Ave, Box 704, Rochester, NY 14642 Phone: 585-275-5307 Fax: 585-275-2914
Sarah Siegfried, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 Elmwood Ave, Box 619-334, Rochester, NY 14642 Phone: 585-472-5690
Nancy Lm Wilcox, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 Portland Ave, Rochester, NY 14621 Phone: 585-697-6416
Mr. Seth Christopher Jacob-wagner, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 114 University Ave, Rochester, NY 14605 Phone: 585-546-2271
Ashley Lynn Hendershot, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 125 Red Creek Dr, Rochester, NY 14623 Phone: 585-486-0600
Caitlin Patrice Curtin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 Elmwood Ave, Rochester, NY 14642 Phone: 585-275-2100

Ms Stacy Ann Johnson, RN - Medicare Nurse Practitioner in Rochester, NY