Nancy Moore Johnson, PMHNP STUDENT is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Pointblank, Texas. Her current practice location is
281 Gov Hogg Dr, Pointblank, Texas. You can reach out to her office (for appointments etc.) via phone at
(936) 581-1819.
Nancy Moore Johnson is licensed to practice in Texas (license number 581469) 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 1053913392.
Provider's Profile
Full Name | Nancy Moore Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Psychiatric/mental Health |
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Location | 281 Gov Hogg Dr, Pointblank, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053913392
- Provider Enumeration Date: 11/11/2020
- Last Update Date: 10/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 0345625463
- Enrollment ID: I20220909002054
Medical Identifiers
Medical identifiers for Nancy Moore Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053913392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 581469 (Texas) | 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. Nancy Moore Johnson allows following entities to bill medicare on her behalf.
Entity Name | Bharath G Raj |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386098283 PECOS PAC ID: 6002101839 Enrollment ID: O20160818000959 |
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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. Nancy Moore 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 |
Nancy Moore Johnson, PMHNP STUDENT 281 Gov Hogg Dr, Pointblank, TX 77364-6779 Ph: (936) 581-1819 | Nancy Moore Johnson, PMHNP STUDENT 281 Gov Hogg Dr, Pointblank, TX 77364-6779 Ph: (936) 581-1819 |
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