Detty Thomas Johnson, - Medicare Certified Registered Nurse Anesthetist (crna) in Apex, NC

Detty Thomas Johnson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Apex, North Carolina. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice American Anesthesiology Of North Carolina Pllc and her current practice location is 8505 Newberry Grove Dr, Apex, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 670-7547.

Detty Thomas Johnson is licensed to practice in North Carolina (license number 251930) 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 1063927549.

Contact Information

Detty Thomas Johnson,
8505 Newberry Grove Dr,
Apex, NC 27539-7970
(919) 670-7547
Not Available



Provider's Profile

Full NameDetty Thomas Johnson
GenderFemale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location8505 Newberry Grove Dr, Apex, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Detty Thomas Johnson graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1063927549
  • Provider Enumeration Date: 12/06/2017
  • Last Update Date: 12/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 8921346743
  • Enrollment ID: I20190220001830

Medical Identifiers

Medical identifiers for Detty Thomas Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063927549NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 251930 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Rex HospitalRaleigh, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
American Anesthesiology Of North Carolina Pllc2961316450383

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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. Detty Thomas Johnson allows following entities to bill medicare on her behalf.
Entity NameAmerican Anesthesiology Of North Carolina Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053677195
PECOS PAC ID: 2961316450
Enrollment ID: O20031229000004

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Entity NameProvidence Anesthesiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396739884
PECOS PAC ID: 3971566761
Enrollment ID: O20041111000930

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Entity NameEast Carolina Anesthesia Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205996519
PECOS PAC ID: 5092720813
Enrollment ID: O20060215000791

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Entity NameRegional Anesthesia, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952486946
PECOS PAC ID: 3779681408
Enrollment ID: O20070604000698

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Entity NameDuke Health Integrated Practice Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205553369
PECOS PAC ID: 8325412737
Enrollment ID: O20230327002247

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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. Detty Thomas 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
Detty Thomas Johnson,
8505 Newberry Grove Dr,
Apex, NC 27539-7970

Ph: (919) 670-7547
Detty Thomas Johnson,
8505 Newberry Grove Dr,
Apex, NC 27539-7970

Ph: (919) 670-7547

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Nurse Anesthetist, Certified Registered Nurses in Apex, NC

Mr. James Donald Lee, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2700 Holland Rd, Apex, NC 27502
Phone: 919-303-0339    Fax: 919-303-4793
Mr. Robert L. Morris, MD
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 115 S Hughes St, Apex, NC 27502
Phone: 919-387-9747    Fax: 919-387-9747
Mr. Bryan Aloysius Carrico, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 622 Eyam Hall Ln, Apex, NC 27502
Phone: 786-797-9911    Fax: 919-578-1511
Ronald Kevin Mook, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 231 Constitution Ct, Apex, NC 27523
Phone: 919-454-3864    
Desirae V Flitcroft, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1972 Old Byre Way, Apex, NC 27502
Phone: 919-824-2427    Fax: 919-367-8001

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