Stacy Johnson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Whitney, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Health And Human Services Commission and her current practice location is
202 E Jefferson Ave, Whitney, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 694-2221.
Stacy Johnson is licensed to practice in * (Not Available) (license number ) 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 1215452578.
Provider's Profile
| Full Name | Stacy Johnson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 202 E Jefferson Ave, Whitney, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Stacy Johnson graduated from nursing school in 2017
NPI Data:
- NPI Number: 1215452578
- Provider Enumeration Date: 08/08/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264798339
- Enrollment ID: I20171106000804
Medical Identifiers
Medical identifiers for Stacy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215452578 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 606779 (Texas) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Health And Human Services Commission | 2163795824 | 78 |
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. Stacy Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Health And Human Services Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058 |
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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. Stacy 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 |
|---|
Stacy Johnson,
202 E Jefferson Ave,
Whitney, TX 76692-2398
Ph: (254) 694-2221 | Stacy Johnson,
202 E Jefferson Ave,
Whitney, TX 76692-2398
Ph: (254) 694-2221 |
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