Mary Agnes Johnson, NP - Medicare Nurse Practitioner in Fort Worth, TX

Mary Agnes Johnson, NP is a medicare enrolled "Nurse Practitioner" in Fort Worth, Texas. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Integrative Emergency Services Physician Group Pa and her current practice location is 1400 8th Ave, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 922-7070.

Mary Agnes Johnson is licensed to practice in Texas (license number 834891) 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 1003251539.

Contact Information

Mary Agnes Johnson, NP
1400 8th Ave,
Fort Worth, TX 76104-4110
(817) 922-7070
Not Available



Provider's Profile

Full NameMary Agnes Johnson
GenderFemale
SpecialityNurse Practitioner
Experience12 Years
Location1400 8th Ave, Fort Worth, Texas
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:
  • Mary Agnes Johnson graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1003251539
  • Provider Enumeration Date: 05/10/2013
  • Last Update Date: 05/10/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 7618103292
  • Enrollment ID: I20131204001836

Medical Identifiers

Medical identifiers for Mary Agnes Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003251539NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 834891 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Jps Health NetworkFort worth, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrative Emergency Services Physician Group Pa074944793657

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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. Mary Agnes Johnson allows following entities to bill medicare on her behalf.
Entity NameIntegrative Emergency Services Physician Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285922542
PECOS PAC ID: 0749447936
Enrollment ID: O20120130000932

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Entity NameAcclaim Physician Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780076562
PECOS PAC ID: 4587963582
Enrollment ID: O20160426000707

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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. Mary Agnes 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
Mary Agnes Johnson, NP
2900 Willing Ave,
Fort Worth, TX 76110-3446

Ph: (334) 744-0554
Mary Agnes Johnson, NP
1400 8th Ave,
Fort Worth, TX 76104-4110

Ph: (817) 922-7070

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Nurse Practitioner Nurses in Fort Worth, TX

Mrs. Amy Michelle Medalie, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4405 River Oaks Blvd, Fort Worth, TX 76114
Phone: 817-624-1770    Fax: 817-625-1287
Valerie Elise Ward, RN, CPNP-PC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2755 Miller Ave, Fort Worth, TX 76105
Phone: 817-534-7110    Fax: 817-413-0521
Maria Sybil Gagliano, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 6000 Bryant Irvin Rd, Fort Worth, TX 76132
Phone: 866-389-2727    
Kristi E Tucker, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 801 7th Ave, Fort Worth, TX 76104
Phone: 682-885-1475    Fax: 682-885-7520
Lacy Pitchford, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1263 W Rosedale St Ste 200, Fort Worth, TX 76104
Phone: 817-336-4896    Fax: 817-332-2805
Susan Akberzie, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1401 W Pulaski St, Fort Worth, TX 76104
Phone: 682-885-8012    Fax: 682-885-8014

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