Whitley Johnson, FNP in Maryville, TN - Medicare Nurse Practitioner

Whitley Johnson, FNP is a medicare enrolled "Nurse Practitioner - Family" in Maryville, Tennessee. Her current practice location is 603 Smithview Dr, Maryville, Tennessee. You can reach out to her office (for appointments etc.) via phone at (865) 983-0082.

Whitley Johnson is licensed to practice in Tennessee (license number 32127) 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 1982337697.

Contact Information

	Whitley Johnson, FNP
	603 Smithview Dr, Maryville, TN 37803-6100
	(865) 983-0082
	(833) 908-2143

Map and Direction

Provider's Profile

Full Name	Whitley Johnson
Gender	Female
Speciality	Nurse Practitioner - Family
Location	603 Smithview Dr, Maryville, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982337697
Provider Enumeration Date: 07/08/2022
Last Update Date: 10/11/2022

Medicare PECOS Information:

PECOS PAC ID: 7315313228
Enrollment ID: I20221018001998

Medical Identifiers

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

Identifier	Type	State	Issuer
1982337697	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	244670 (Tennessee)	Secondary
363LF0000X	Nurse Practitioner - Family	32127 (Tennessee)	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. Whitley Johnson allows following entities to bill medicare on her behalf.

Entity Name	Summit Medical Group, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659090298 PECOS PAC ID: 2860396330 Enrollment ID: O20031125000793

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. Whitley 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
Whitley Johnson, FNP 1275 Dick Lonas Rd Unit 101, Knoxville, TN 37909-1383 Ph: (865) 584-4747	Whitley Johnson, FNP 603 Smithview Dr, Maryville, TN 37803-6100 Ph: (865) 983-0082

Reviews and Comments

Nurse Practitioner Nurses in Maryville, TN

Mrs. Kellie R. Gaby, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 405 Bmh Physicians Office Bldg, Maryville, TN 37804 Phone: 865-238-6430 Fax: 865-238-6444
Mrs. Olga Maria Gardner, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Christina Marie Valentin, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4796
Dalya Tobea Frank, APN, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-980-4897 Fax: 865-977-4722
Harley Gibbs, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Parliament Dr Ste A, Maryville, TN 37804 Phone: 561-716-6894
Samantha Pendergrass, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 907 E Lamar Alexander Pkwy, Maryville, TN 37804 Phone: 865-977-5795
Alyssa R. Atchley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1012 Jamestown Way, Maryville, TN 37803 Phone: 865-246-2104 Fax: 865-246-2106

Whitley Johnson, FNP - Medicare Nurse Practitioner in Maryville, TN