Ms Sandrivette Johnson, FNP-C in Raleigh, NC - Medicare Nurse Practitioner

Ms Sandrivette Johnson, FNP-C is a medicare enrolled "Nurse Practitioner" in Raleigh, North Carolina. She graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midtown Dermatology, Pc and her current practice location is 5904 Six Forks Rd Ste 211, Raleigh, North Carolina. You can reach out to her office (for appointments etc.) via phone at (984) 242-0510.

Ms Sandrivette Johnson is licensed to practice in North Carolina (license number 201614) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1740201458.

Contact Information

	Ms Sandrivette Johnson, FNP-C
	5904 Six Forks Rd Ste 211, Raleigh, NC 27609-8228
	(984) 242-0510
	(984) 242-0520

Map and Direction

Provider's Profile

Full Name	Ms Sandrivette Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	22 Years
Location	5904 Six Forks Rd Ste 211, Raleigh, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Sandrivette Johnson graduated from nursing school in 2002

NPI Data:

NPI Number: 1740201458
Provider Enumeration Date: 07/21/2006
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 6507760097
Enrollment ID: I20031125000889

Medical Identifiers

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

Identifier	Type	State	Issuer
1740201458	NPI	-	NPPES
NCY997D895	Other	NC	MEDICARE
P02076810	Other		RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	201614 (North Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Nash General Hospital	Rocky mount, NC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Midtown Dermatology, Pc	2062632599	4

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 Sandrivette Johnson allows following entities to bill medicare on her behalf.

Entity Name	Midtown Dermatology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205242252 PECOS PAC ID: 2062632599 Enrollment ID: O20141006001521

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 Sandrivette 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 Sandrivette Johnson, FNP-C 5904 Six Forks Rd Ste 211, Raleigh, NC 27609-8228 Ph: (984) 242-0510	Ms Sandrivette Johnson, FNP-C 5904 Six Forks Rd Ste 211, Raleigh, NC 27609-8228 Ph: (984) 242-0510

Reviews and Comments

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Mrs. Cassady T Turregano, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1540 Sunday Dr, Raleigh, NC 27607 Phone: 919-782-3456 Fax: 919-783-1441

Ms Sandrivette Johnson, FNP-C - Medicare Nurse Practitioner in Raleigh, NC