Mrs Angela Nicole Johnson, PT in Portland, OR - Medicare Physical Therapist Provider

Mrs Angela Nicole Johnson, PT is a medicare enrolled "Physical Therapist" provider in Portland, Oregon. Her current practice location is 555 Sw Oak Street, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 254-3424.

Mrs Angela Nicole Johnson is licensed to practice in Oregon (license number 6156) 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 1144583378.

Contact Information

	Mrs Angela Nicole Johnson, PT
	555 Sw Oak Street, Portland, OR 97204
	(503) 254-3424
	(503) 254-3635

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Angela Nicole Johnson
Gender	Female
Speciality	Physical Therapist
Location	555 Sw Oak Street, Portland, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144583378
Provider Enumeration Date: 06/22/2012
Last Update Date: 05/16/2014

Medicare PECOS Information:

PECOS PAC ID: 6103052543
Enrollment ID: I20131113001639

Medical Identifiers

Medical identifiers for Mrs Angela Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144583378	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	6156 (Oregon)	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. Mrs Angela Nicole Johnson allows following entities to bill medicare on her behalf.

Provider Name	Kaiser Foundation Health Plan Of The Northwest
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799

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. Mrs Angela Nicole 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
Mrs Angela Nicole Johnson, PT 9828 East Burnside Suite #250, Portland, OR 97216-2365 Ph: (503) 254-3424	Mrs Angela Nicole Johnson, PT 555 Sw Oak Street, Portland, OR 97204 Ph: (503) 254-3424

Reviews and Comments

Physical Therapist in Portland, OR

Jonathan Rex Gustavson, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3426 Ne 62nd Ave, Portland, OR 97213 Phone: 503-312-3443
Ms. Ruth A Hurst, P.T., G.C.F.P. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7721 Sw 34th Ave, Portland, OR 97219 Phone: 503-452-7767
Ms. Molly Anne Bredenberg, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5050 Ne Hoyt St, Portland, OR 97213 Phone: 503-215-0424
David Genco Jr., DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 319 Ne Russet St, Portland, OR 97211 Phone: 503-289-5571
Jenna Valentine, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 9204 Se Mitchell St, Portland, OR 97266 Phone: 503-777-6746
Ariel Witkin, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1515 Nw 18th Ave Ste 400, Portland, OR 97209 Phone: 503-228-1306 Fax: 503-228-1307
Brian Carper, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 300 N Graham St Ste 430, Portland, OR 97227 Phone: 503-413-1500

Mrs Angela Nicole Johnson, PT - Medicare Physical Therapist in Portland, OR