Peder Johnsen, APRN in Middletown, CT - Medicare Nurse Practitioner

Peder Johnsen, APRN is a medicare enrolled "Nurse Practitioner - Family" in Middletown, Connecticut. He graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Mhs Primary Care, Inc and his current practice location is 28 Crescent St, Middletown, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 358-6000.

Peder Johnsen is licensed to practice in Connecticut (license number 8775) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639791577.

Contact Information

	Peder Johnsen, APRN
	28 Crescent St, Middletown, CT 06457-3654
	(860) 358-6000
	Not Available

Map and Direction

Provider's Profile

Full Name	Peder Johnsen
Gender	Male
Speciality	Nurse Practitioner
Experience	5 Years
Location	28 Crescent St, Middletown, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Peder Johnsen graduated from nursing school in 2019

NPI Data:

NPI Number: 1639791577
Provider Enumeration Date: 05/14/2020
Last Update Date: 02/24/2021

Medicare PECOS Information:

PECOS PAC ID: 2961823976
Enrollment ID: I20200529002020

Medical Identifiers

Medical identifiers for Peder Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639791577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	8775 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Middlesex Hospital	Middletown, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mhs Primary Care, Inc	4082507371	143

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. Peder Johnsen allows following entities to bill medicare on his behalf.

Entity Name	Mhs Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740666312 PECOS PAC ID: 4082507371 Enrollment ID: O20040202000945

Entity Name	Mhs Primary Care, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093138935 PECOS PAC ID: 4082507371 Enrollment ID: O20140814001234

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. Peder Johnsen 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
Peder Johnsen, APRN 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-6000	Peder Johnsen, APRN 28 Crescent St, Middletown, CT 06457-3654 Ph: (860) 358-6000

Reviews and Comments

Nurse Practitioner Nurses in Middletown, CT

Christina M Barrows, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80 S Main St, Middletown, CT 06457 Phone: 860-358-6394 Fax: 860-358-6748
Kendall Elizabeth Cote, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Silver Street, Middletown, CT 06457 Phone: 860-942-6983
Mr. Ananias Gloria Iii, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Centerpoint Dr Ste 215, Middletown, CT 06457 Phone: 888-964-6681 Fax: 888-662-0859
Danielle Langer, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 400 Saybrook Rd Ste 205, Middletown, CT 06457 Phone: 860-346-7738 Fax: 860-347-2097
Mae Joy E. Falk, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 40 Nutmeg Ct, Middletown, CT 06457 Phone: 860-346-4133
Stacey Durr, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 90 S Main St, Middletown, CT 06457 Phone: 860-358-6486
Meredith Campbell, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 675 Main St, Middletown, CT 06457 Phone: 860-347-6971

Peder Johnsen, APRN - Medicare Nurse Practitioner in Middletown, CT