Theresa Johnson, DNP, MS,FNP-BC in Dearborn, MI

Theresa Johnson, DNP, MS,FNP-BC is a medicare enrolled "Nurse Practitioner" in Dearborn, Michigan. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Henry Ford Medical Group, Beaumont Medical Group Hospital Based Services and her current practice location is 3200 Greenfield Rd Ste 300, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 334-6395.

Theresa Johnson is licensed to practice in Michigan (license number 4704285116) 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 1366849069.

Contact Information

	Theresa Johnson, DNP, MS,FNP-BC
	3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805
	(313) 334-6395
	Not Available

Map and Direction

Provider's Profile

Full Name	Theresa Johnson
Gender	Female
Speciality	Nurse Practitioner
Experience	10 Years
Location	3200 Greenfield Rd Ste 300, Dearborn, Michigan
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:

Theresa Johnson graduated from nursing school in 2014

NPI Data:

NPI Number: 1366849069
Provider Enumeration Date: 11/24/2014
Last Update Date: 11/04/2022

Medicare PECOS Information:

PECOS PAC ID: 2466756085
Enrollment ID: I20160202001402

Medical Identifiers

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

Identifier	Type	State	Issuer
1366849069	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704285116 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704285116 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaumont Hospital - Farmington Hills	Farmington hills, MI	Hospital
Henry Ford West Bloomfield Hospital	West bloomfield, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Henry Ford Medical Group	0547178311	2124
Beaumont Medical Group Hospital Based Services	3072875889	464

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

Entity Name	Henry Ford Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104900455 PECOS PAC ID: 0547178311 Enrollment ID: O20031210000341

Entity Name	Beaumont Medical Group Hospital Based Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427567858 PECOS PAC ID: 3072875889 Enrollment ID: O20180314001796

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. Theresa 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
Theresa Johnson, DNP, MS,FNP-BC 17778 Violet Dr, Southfield, MI 48076-2098 Ph: (483) 182-2092	Theresa Johnson, DNP, MS,FNP-BC 3200 Greenfield Rd Ste 300, Dearborn, MI 48120-1805 Ph: (313) 334-6395

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Ms. Amira Hachem, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18220 Snow Ave, Dearborn, MI 48124 Phone: 313-502-7755
Sarah Naji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Theresa Johnson, DNP, MS,FNP-BC - Medicare Nurse Practitioner in Dearborn, MI