Shawn Marie Johnson, ACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Jamison, Pennsylvania. Her current practice location is
1753 Kendarbren Dr Ste 612, Jamison, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(855) 200-8585.
Shawn Marie Johnson is licensed to practice in Pennsylvania (license number SP018787) 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 1184013013.
Provider's Profile
Full Name | Shawn Marie Johnson |
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Gender | Female |
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Speciality | Nurse Practitioner - Acute Care |
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Location | 1753 Kendarbren Dr Ste 612, Jamison, Pennsylvania |
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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: 1184013013
- Provider Enumeration Date: 01/15/2015
- Last Update Date: 06/30/2022
Medicare PECOS Information:
- PECOS PAC ID: 6002137890
- Enrollment ID: I20150604002369
Medical Identifiers
Medical identifiers for Shawn Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184013013 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2100X | Nurse Practitioner - Acute Care | APN.0991453-NP (Colorado) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 0024172257 (Virginia) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 1037500 (District Of Columbia) | Secondary |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP018787 (Pennsylvania) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | SP018787 (Pennsylvania) | 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. Shawn Marie Johnson allows following entities to bill medicare on her behalf.
Entity Name | Psychogeriatric Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1588689483 PECOS PAC ID: 6002719226 Enrollment ID: O20040127000803 |
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Entity Name | Virginia Bariatric Surgery P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841550035 PECOS PAC ID: 9638334568 Enrollment ID: O20120627000505 |
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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. Shawn Marie 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 |
Shawn Marie Johnson, ACNP-BC 1753 Kendarbren Dr Ste 612, Jamison, PA 18929-1049 Ph: (855) 200-8585 | Shawn Marie Johnson, ACNP-BC 1753 Kendarbren Dr Ste 612, Jamison, PA 18929-1049 Ph: (855) 200-8585 |
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