Teresa Johnson, APRN in Carterville, IL - Medicare Nurse Practitioner

Teresa Johnson, APRN is a medicare enrolled "Nurse Practitioner" in Carterville, Illinois. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Shawnee Health Service And Development Corp, Select Physical Therapy Holdings Inc and her current practice location is 1006 S Division St, Carterville, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Teresa Johnson is licensed to practice in Illinois (license number 209014846) 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 1639690191.

Contact Information

	Teresa Johnson, APRN
	1006 S Division St, Carterville, IL 62918-1539
	(618) 519-9200
	(618) 985-3774

Map and Direction

Provider's Profile

Full Name	Teresa Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1006 S Division St, Carterville, Illinois
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:

Teresa Johnson graduated from nursing school in 2016

NPI Data:

NPI Number: 1639690191
Provider Enumeration Date: 07/05/2017
Last Update Date: 04/01/2022

Medicare PECOS Information:

PECOS PAC ID: 0042557845
Enrollment ID: I20190201001502

Medical Identifiers

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

Identifier	Type	State	Issuer
1639690191	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209014846 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lhc-illinois Home Health Care	Marion, IL	Home health agency
Memorial Hospital Of Carbondale	Carbondale, IL	Hospital
Southern Illinois Hospital Services Dba Herrin Hospital	Herrin, IL	Hospital
St Joseph Memorial Hospital	Murphysboro, IL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Shawnee Health Service And Development Corp	1658285671	37
Select Physical Therapy Holdings Inc	9537076401	1557

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

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

Entity Name	Southern Orthopedic Associates Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396792412 PECOS PAC ID: 8921095514 Enrollment ID: O20040427000442

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. Teresa 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
Teresa Johnson, APRN 109 California St, Po Box 577, Carterville, IL 62918-0577 Ph: (161) 851-9920	Teresa Johnson, APRN 1006 S Division St, Carterville, IL 62918-1539 Ph: (618) 519-9200

Reviews and Comments

Nurse Practitioner Nurses in Carterville, IL

Ms. Morgan A Gant, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469
Mary K Chapman, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 Pin Oak Dr, Carterville, IL 62918 Phone: 618-985-3333 Fax: 618-985-1307
Trisha Lynn Phemister, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 308 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 618-985-6469
Cathy D Bless, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1006 S Division St, Carterville, IL 62918 Phone: 618-985-4841 Fax: 618-985-8101
Molly Price, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 310 W Plaza Dr, Carterville, IL 62918 Phone: 618-985-4344 Fax: 833-991-3991
Cassandra Vestal, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 108 N Division St, Carterville, IL 62918 Phone: 618-985-3929 Fax: 618-985-9276

Teresa Johnson, APRN - Medicare Nurse Practitioner in Carterville, IL