Chavonn M Johnson, LCSW, LCDC-I, CCM is a medicare enrolled "Counselor - Mental Health" provider in Mansfield, Texas. Her current practice location is
733 Highway 287 N Ste 311, Mansfield, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 914-3251.
Chavonn M Johnson is licensed to practice in Texas (license number 61334) 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 1972977189.
Healthcare Provider's Profile
Full Name | Chavonn M Johnson |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 733 Highway 287 N Ste 311, Mansfield, Texas |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1972977189
- Provider Enumeration Date: 11/25/2015
- Last Update Date: 12/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 0244602696
- Enrollment ID: I20230210001345
Medical Identifiers
Medical identifiers for Chavonn M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1972977189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 61334 (Texas) | Secondary |
101YM0800X | Counselor - Mental Health | 61334 (Texas) | Primary |
171M00000X | Case Manager/care Coordinator | 61334 (Texas) | Secondary |
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. Chavonn M Johnson allows following entities to bill medicare on her behalf.
Entity Name | Dallas County Mental Health & Mental Retardation Center |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1023239886 PECOS PAC ID: 2062308091 Enrollment ID: O20040225001046 |
---|
Entity Name | Supportive Care Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
---|
Entity Name | Geode Health Of Texas, Pllc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1851037162 PECOS PAC ID: 2062896897 Enrollment ID: O20220829001698 |
---|
Entity Name | Ihearu Mental Health Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1134807100 PECOS PAC ID: 4183086788 Enrollment ID: O20230814003726 |
---|
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. Chavonn M 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 |
Chavonn M Johnson, LCSW, LCDC-I, CCM 2425 Clayton Oaks Dr, Grand Prairie, TX 75052-4101 Ph: (817) 760-0481 | Chavonn M Johnson, LCSW, LCDC-I, CCM 733 Highway 287 N Ste 311, Mansfield, TX 76063-2765 Ph: (817) 914-3251 |
Reviews and Comments