Emmanuette Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Pembroke Pnes, Florida. Her current practice location is
15800 Pines Blvd Ste 328, Pembroke Pnes, Florida. You can reach out to her office (for appointments etc.) via phone at
(305) 707-4240.
Emmanuette Johnson is licensed to practice in Florida (license number SW17074) 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 1538608401.
Healthcare Provider's Profile
Full Name | Emmanuette Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 15800 Pines Blvd Ste 328, Pembroke Pnes, Florida |
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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: 1538608401
- Provider Enumeration Date: 02/13/2017
- Last Update Date: 10/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 1456768894
- Enrollment ID: I20210331000279
Medical Identifiers
Medical identifiers for Emmanuette Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538608401 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW17074 (Florida) | 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. Emmanuette Johnson allows following entities to bill medicare on her behalf.
Entity Name | Refresh In-home Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609365519 PECOS PAC ID: 8325397375 Enrollment ID: O20191104003213 |
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Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
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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. Emmanuette 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 |
Emmanuette Johnson, LCSW Po Box 822021, Pembroke Pnes, FL 33082-2021 Ph: (305) 707-4240 | Emmanuette Johnson, LCSW 15800 Pines Blvd Ste 328, Pembroke Pnes, FL 33027-1212 Ph: (305) 707-4240 |
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