Teresa W Johnson, CNM in Valdosta, GA - Medicare Advanced Practice Midwife

Teresa W Johnson, CNM is a medicare enrolled "Advanced Practice Midwife" in Valdosta, Georgia. Her current practice location is 220 Northside Dr, Valdosta, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 241-2800.

Teresa W Johnson is licensed to practice in Georgia (license number RN078675) 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 1841341500.

Contact Information

	Teresa W Johnson, CNM
	220 Northside Dr, Valdosta, GA 31602-1858
	(229) 241-2800
	(229) 241-0454

Map and Direction

Provider's Profile

Full Name	Teresa W Johnson
Gender	Female
Speciality	Advanced Practice Midwife
Location	220 Northside Dr, Valdosta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841341500
Provider Enumeration Date: 01/16/2007
Last Update Date: 05/04/2010

Medicare PECOS Information:

PECOS PAC ID: 1052449600
Enrollment ID: I20100503000525

Medical Identifiers

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

Identifier	Type	State	Issuer
1841341500	NPI	-	NPPES
000889105B	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	RN078675 (Georgia)	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. Teresa W Johnson allows following entities to bill medicare on her behalf.

Entity Name	Southern Ob Gyn Associates P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801951454 PECOS PAC ID: 8729059043 Enrollment ID: O20040802000950

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 W 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 W Johnson, CNM 220 Northside Dr, Valdosta, GA 31602-1858 Ph: (229) 241-2800	Teresa W Johnson, CNM 220 Northside Dr, Valdosta, GA 31602-1858 Ph: (229) 241-2800

Reviews and Comments

Advanced Practice Midwife Nurses in Valdosta, GA

Genevieve E. Delk, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 2601 Bemiss Rd, Suite A, Valdosta, GA 31602 Phone: 229-242-6677 Fax: 229-242-1870
Ashley Barker, CMN Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-245-0888
Mrs. Michelle Lynn Shifflett, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 814 Northwood Park Dr, Valdosta, GA 31602 Phone: 229-262-6810
Deborah Crews, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Drive, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454
Vickie D Hankla, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 220 Northside Drive, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454
Stacey C Reid, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 220 Northside Dr, Valdosta, GA 31602 Phone: 229-241-2800 Fax: 229-241-0454

Teresa W Johnson, CNM - Medicare Advanced Practice Midwife in Valdosta, GA