Tracey Amanda Clark-johnson, in Savannah, GA - Medicare Nurse Practitioner

Tracey Amanda Clark-johnson, is a medicare enrolled "Nurse Practitioner - Family" in Savannah, Georgia. Her current practice location is 5354 Reynolds St Ste 411, Savannah, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 355-2800.

Tracey Amanda Clark-johnson is licensed to practice in Georgia (license number RN171140) 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 1770218356.

Contact Information

	Tracey Amanda Clark-johnson,
	5354 Reynolds St Ste 411, Savannah, GA 31405-6011
	(912) 355-2800
	(912) 355-9444

Map and Direction

Provider's Profile

Full Name	Tracey Amanda Clark-johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5354 Reynolds St Ste 411, Savannah, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770218356
Provider Enumeration Date: 07/19/2022
Last Update Date: 07/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4981061165
Enrollment ID: I20230602000352

Medical Identifiers

Medical identifiers for Tracey Amanda Clark-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770218356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN171140 (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. Tracey Amanda Clark-johnson allows following entities to bill medicare on her behalf.

Entity Name	Curtis V. Cooper Primary Health Care, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750314183 PECOS PAC ID: 4789667015 Enrollment ID: O20040609000352

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. Tracey Amanda Clark-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
Tracey Amanda Clark-johnson, 106 E Broad St, Savannah, GA 31401-2917 Ph: (912) 527-1000	Tracey Amanda Clark-johnson, 5354 Reynolds St Ste 411, Savannah, GA 31405-6011 Ph: (912) 355-2800

Reviews and Comments

Nurse Practitioner Nurses in Savannah, GA

Glenda Laine Eloge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5353 Reynolds St, Ste 300, Savannah, GA 31405 Phone: 912-355-6005 Fax: 912-355-5643
Ms. Deborah Evelyn Kemp, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1302 Drayton St, Savannah, GA 31401 Phone: 912-443-9409 Fax: 912-443-1843
Deanna M Wildes, RN, BSN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Avenue, Suite 500, Savannah, GA 31404 Phone: 912-352-8346 Fax: 912-355-1414
Abegail Delez Xiang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6301 Abercorn St, Savannah, GA 31405 Phone: 912-352-8700 Fax: 912-650-6805
Jackie M Kehrli, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4750 Waters Ave Ste 202, Savannah, GA 31404 Phone: 912-350-7412 Fax: 912-350-7297
Caroline Shealy Sauers, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6602 Waters Ave Bldg C, Savannah, GA 31406 Phone: 912-354-7676 Fax: 912-354-6040
Stacy Eagle, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6602 Waters Ave, Savannah, GA 31406 Phone: 912-354-7676

Tracey Amanda Clark-johnson, - Medicare Nurse Practitioner in Savannah, GA