Jourdan Johnson, is a medicare enrolled "Marriage & Family Therapist" provider in Sacramento, California. His current practice location is
811 Grand Ave, Sacramento, California. You can reach out to his office (for appointments etc.) via phone at
(916) 922-9868.
Jourdan Johnson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1871086140.
Healthcare Provider's Profile
Full Name | Jourdan Johnson |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 811 Grand Ave, Sacramento, California |
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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: 1871086140
- Provider Enumeration Date: 06/12/2018
- Last Update Date: 12/15/2020
Medicare PECOS Information:
- PECOS PAC ID: 0244675734
- Enrollment ID: I20240223001825
Medical Identifiers
Medical identifiers for Jourdan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871086140 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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. Jourdan Johnson allows following entities to bill medicare on his behalf.
Entity Name | Utah Healthcare Institute Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376597344 PECOS PAC ID: 7719882562 Enrollment ID: O20031204000492 |
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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. Jourdan 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 |
Jourdan Johnson, 811 Grand Ave, Sacramento, CA 95838-3466 Ph: () - | Jourdan Johnson, 811 Grand Ave, Sacramento, CA 95838-3466 Ph: (916) 922-9868 |
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