Anita L Johnson, AUD is a medicare enrolled "Audiologist" provider in Gibson City, Illinois. Her current practice location is
1 Doctors Park, Gibson City, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 784-2808.
Anita L Johnson is licensed to practice in Illinois (license number 147001940) 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 1104891043.
Healthcare Provider's Profile
Full Name | Anita L Johnson |
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Gender | Female |
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Speciality | Audiologist |
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Location | 1 Doctors Park, Gibson City, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104891043
- Provider Enumeration Date: 02/22/2006
- Last Update Date: 12/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214064393
- Enrollment ID: I20100421000615
Medical Identifiers
Medical identifiers for Anita L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104891043 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | LD00001206 (Washington) | Secondary |
231H00000X | Audiologist | 147001940 (Illinois) | 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. Anita L Johnson allows following entities to bill medicare on her behalf.
Provider Name | Virginia Mason Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1801851258 PECOS PAC ID: 9830002617 Enrollment ID: O20031107000383 |
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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. Anita L 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 Address | Practice Location Address |
Anita L Johnson, AUD 1120 N Melvin St, Gibson City, IL 60936-1477 Ph: (217) 784-4251 | Anita L Johnson, AUD 1 Doctors Park, Gibson City, IL 60936-2000 Ph: (217) 784-2808 |
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