John Grady Johnston Jr, DNP - Medicare Certified Registered Nurse Anesthetist (crna) in Portales, NM

John Grady Johnston Jr, DNP is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Portales, New Mexico. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Main Street Anesthesia Of New Mexico, Llc and his current practice location is 42121 Us Highway 70, Portales, New Mexico. You can reach out to his office (for appointments etc.) via phone at (575) 359-1800.

John Grady Johnston Jr is licensed to practice in New Mexico (license number 55422) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1700362183.

Contact Information

John Grady Johnston Jr, DNP
42121 Us Highway 70,
Portales, NM 88130-9054
(575) 359-1800
Not Available



Provider's Profile

Full NameJohn Grady Johnston Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience6 Years
Location42121 Us Highway 70, Portales, New Mexico
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • John Grady Johnston Jr graduated from nursing school in 2018
  NPI Data:
  • NPI Number: 1700362183
  • Provider Enumeration Date: 07/18/2018
  • Last Update Date: 04/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537411087
  • Enrollment ID: I20190611001735

Medical Identifiers

Medical identifiers for John Grady Johnston Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700362183NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041465807 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 120003 (Illinois)Secondary
367500000XNurse Anesthetist, Certified Registered 55422 (New Mexico)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lovelace Regional Hospital - RoswellRoswell, NMHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Main Street Anesthesia Of New Mexico, Llc3476807538154

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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. John Grady Johnston Jr allows following entities to bill medicare on his behalf.
Entity NameMain Street Anesthesia Of New Mexico, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275010985
PECOS PAC ID: 3476807538
Enrollment ID: O20181108002622

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Entity NameSleepy Plains Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265090344
PECOS PAC ID: 4284960352
Enrollment ID: O20190726001196

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Entity NameCapital Anesthesia Solutions Of New Mexico Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457902215
PECOS PAC ID: 4688096126
Enrollment ID: O20200629004019

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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. John Grady Johnston Jr 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
John Grady Johnston Jr, DNP
506 Viale Bond,
Roswell, NM 88201-5874

Ph: (731) 616-8164
John Grady Johnston Jr, DNP
42121 Us Highway 70,
Portales, NM 88130-9054

Ph: (575) 359-1800

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Nurse Anesthetist, Certified Registered Nurses in Portales, NM

Mrs. Madeline K Chalenor, CRNA, DNP
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 42121 Us Highway 70, Portales, NM 88130
Phone: 575-359-1800    

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