Deborah Ruth Johnson, CNM - Medicare Midwife in Bridgeport, CT

Deborah Ruth Johnson, CNM is a medicare enrolled "Midwife" in Bridgeport, Connecticut. Her current practice location is 509 Park Ave, Bridgeport, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 330-6000.

Deborah Ruth Johnson is licensed to practice in Connecticut (license number 515) 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 1851440242.

Contact Information

Deborah Ruth Johnson, CNM
509 Park Ave,
Bridgeport, CT 06604-5859
(203) 330-6000
Not Available



Provider's Profile

Full NameDeborah Ruth Johnson
GenderFemale
SpecialityMidwife
Location509 Park Ave, Bridgeport, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1851440242
  • Provider Enumeration Date: 01/09/2007
  • Last Update Date: 03/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7618346297
  • Enrollment ID: I20221205001163

Medical Identifiers

Medical identifiers for Deborah Ruth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851440242NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367A00000XAdvanced Practice Midwife 309000231 (Illinois)Secondary
176B00000XMidwife 515 (Connecticut)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. Deborah Ruth Johnson allows following entities to bill medicare on her behalf.
Entity NameSouth-west Community Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699703686
PECOS PAC ID: 2466445200
Enrollment ID: O20040420001098

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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. Deborah Ruth 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 AddressPractice Location Address
Deborah Ruth Johnson, CNM
46 Albion St,
Bridgeport, CT 06605-2602

Ph: (203) 330-6000
Deborah Ruth Johnson, CNM
509 Park Ave,
Bridgeport, CT 06604-5859

Ph: (203) 330-6000

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