Olivia Lee Johnson, RN - Medicare Nurse Practitioner in Fresno, CA

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Olivia Lee Johnson, RN is a medicare enrolled "Nurse Practitioner - Family" in Fresno, California. Her current practice location is 2823 Fresno St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at (559) 593-9615.

Olivia Lee Johnson is licensed to practice in California (license number 95027393) 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 1649969460.

Contact Information

Olivia Lee Johnson, RN
2823 Fresno St,
Fresno, CA 93721-1324
(559) 593-9615
Not Available

Map and Direction




Provider's Profile

Full NameOlivia Lee Johnson
GenderFemale
SpecialityNurse Practitioner - Family
Location2823 Fresno St, Fresno, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649969460
  • Provider Enumeration Date: 05/08/2023
  • Last Update Date: 09/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3971941998
  • Enrollment ID: I20240409003864

Medical Identifiers

Medical identifiers for Olivia Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649969460NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0102XRegistered Nurse - Maternal Newborn 95224230 (California)Secondary
363LF0000XNurse Practitioner - Family 95027393 (California)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. Olivia Lee Johnson allows following entities to bill medicare on her behalf.
Entity NameDzung Trinh Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366075640
PECOS PAC ID: 8820429095
Enrollment ID: O20200504002613

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. Olivia Lee 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 AddressPractice Location Address
Olivia Lee Johnson, RN
347 E Barstow Ave Ste 102,
Fresno, CA 93710-6039

Ph: (559) 550-4344		Olivia Lee Johnson, RN
2823 Fresno St,
Fresno, CA 93721-1324

Ph: (559) 593-9615

Reviews and Comments


Nurse Practitioner Nurses in Fresno, CA

Ms. Sheila Orallo Mallory, N. P.
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Medicare: Not Enrolled in Medicare
Practice Location: 1867 E Fir Ave Ste 104, Fresno, CA 93720
Phone: 559-325-5876    Fax: 559-325-5838
Gretchen Nelson, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1105 E Spruce Ave Ste 203, Fresno, CA 93720
Phone: 559-450-7272    Fax: 559-450-7276
Marlene Solomon Lim, PNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5755 E Kings Canyon Rd, Suite 104, Fresno, CA 93727
Phone: 559-255-7777    Fax: 559-454-1091
Ms. Yolanda Mata, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 257 N Dewitt Ave, Fresno, CA 93727
Phone: 559-255-1373    
Tamara Carpenter, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2823 Fresno St, Fresno, CA 93721
Phone: 559-499-6440    
Shalvi Shaili,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5860 E Byrd Ave, Fresno, CA 93727
Phone: 510-334-9295    
Natalie Betancur, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 645 S Minnewawa Ave, Fresno, CA 93727
Phone: 800-492-4227    

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.