Lori Johnson, - Medicare Nurse Anesthetist, Certified Registered in Fort Campbell, KY

Lori Johnson, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Campbell, Kentucky. Her current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to her office (for appointments etc.) via phone at (210) 250-1995.

Lori Johnson is licensed to practice in Alabama (license number 00000) 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 1518211218.

Contact Information

Lori Johnson,
650 Joel Dr,
Fort Campbell, KY 42223
(210) 250-1995
Not Available



Provider's Profile

Full NameLori Johnson
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518211218
  • Provider Enumeration Date: 11/01/2012
  • Last Update Date: 06/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 5496105074
  • Enrollment ID: I20231221003873

Medical Identifiers

Medical identifiers for Lori Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518211218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 00000 (Alabama)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. Lori Johnson allows following entities to bill medicare on her behalf.
Entity NameT J Samson Community Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477609865
PECOS PAC ID: 0648182600
Enrollment ID: O20040318001777

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Entity NamePurchase Anesthesia, Psc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215987953
PECOS PAC ID: 1951357847
Enrollment ID: O20050323001200

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› Verified 2 days ago

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. Lori 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
Lori Johnson,
650 Joel Dr,
Fort Campbell, KY 42223-5318

Ph: (210) 250-1995
Lori Johnson,
650 Joel Dr,
Fort Campbell, KY 42223

Ph: (210) 250-1995

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› Verified 2 days ago


Nurse Anesthetist, Certified Registered Nurses in Fort Campbell, KY

Kristal Dianna Harps, DNP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 301-520-5143    
Richard C Ales,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8372    Fax: 270-956-0180
Mrs. Savannah Lynn Brookhart, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 808-386-8536    
Melissa Mckinney, DNP CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 210-286-1910    
Teara Lynn Kist, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 270-798-8400    
Ms. Sarah Ruth Bellenger, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 650 Joel Dr, Fort Campbell, KY 42223
Phone: 808-554-7159    

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