Nathaniel Johnson, PMHNP-BC in Rochester, NY - Medicare Nurse Practitioner

Nathaniel Johnson, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Rochester, New York. His current practice location is 2613 W Henrietta Rd Ste F, Rochester, New York. You can reach out to his office (for appointments etc.) via phone at (585) 702-2612.

Nathaniel Johnson is licensed to practice in New York (license number 404969) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1124715222.

Contact Information

	Nathaniel Johnson, PMHNP-BC
	2613 W Henrietta Rd Ste F, Rochester, NY 14623-2327
	(585) 702-2612
	Not Available

Map and Direction

Provider's Profile

Full Name	Nathaniel Johnson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2613 W Henrietta Rd Ste F, 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: 1124715222
Provider Enumeration Date: 04/19/2023
Last Update Date: 03/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6204294614
Enrollment ID: I20230616000875

Medical Identifiers

Medical identifiers for Nathaniel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124715222	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	758875 (New York)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	404969 (New York)	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. Nathaniel Johnson allows following entities to bill medicare on his behalf.

Entity Name	University Of Rochester
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710226824 PECOS PAC ID: 5799699088 Enrollment ID: O20031201000019

Entity Name	University Of Rochester Department Of Psychiatry Clinical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326088808 PECOS PAC ID: 3173420429 Enrollment ID: O20031216000276

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. Nathaniel 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
Nathaniel Johnson, PMHNP-BC 23 Bateau Ter, Rochester, NY 14617-1201 Ph: (585) 703-2612	Nathaniel Johnson, PMHNP-BC 2613 W Henrietta Rd Ste F, Rochester, NY 14623-2327 Ph: (585) 702-2612

Reviews and Comments

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Nathaniel Johnson, PMHNP-BC - Medicare Nurse Practitioner in Rochester, NY