Kelli Ann Johnson, MSW in Spokane, WA - Medicare Social Worker Provider

Kelli Ann Johnson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. Her current practice location is 107 S Division St, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 838-4651.

Kelli Ann Johnson is licensed to practice in Washington (license number LW61083855) 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 1114492840.

Contact Information

	Kelli Ann Johnson, MSW
	107 S Division St, Spokane, WA 99202-1510
	(509) 838-4651
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelli Ann Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	107 S Division St, Spokane, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114492840
Provider Enumeration Date: 10/09/2018
Last Update Date: 12/13/2021

Medicare PECOS Information:

PECOS PAC ID: 2264822378
Enrollment ID: I20211203002307

Medical Identifiers

Medical identifiers for Kelli Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114492840	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LW61083855 (Washington)	Primary
101Y00000X	Counselor	CG60569013 (Washington)	Secondary
104100000X	Social Worker	LW61083855 (Washington)	Secondary
104100000X	Social Worker	(* (Not Available))	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. Kelli Ann Johnson allows following entities to bill medicare on her behalf.

Entity Name	Frontier Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861495327 PECOS PAC ID: 5092603340 Enrollment ID: O20040308001191

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. Kelli Ann 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
Kelli Ann Johnson, MSW 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651	Kelli Ann Johnson, MSW 107 S Division St, Spokane, WA 99202-1510 Ph: (509) 838-4651

Reviews and Comments

Social Worker in Spokane, WA

Dan L Sigler, LAICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1328 W Gardner Ave, Spokane, WA 99201 Phone: 509-325-5232
Mr. Benjamin Paul Menard, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9505 N Division St Ste 210, Spokane, WA 99218 Phone: 509-850-0512
Ms. Jaime Lee Vosbein, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 221 N Wall St Ste 202, Spokane, WA 99201 Phone: 537-527-3202
Dustin Haywood, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 522 W Riverside Ave Ste N, Spokane, WA 99201 Phone: 509-262-5774
Mayra Lizeth Pelayo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 22 S Thor St, Spokane, WA 99202 Phone: 509-532-2000
Angela Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 400 S Jefferson St, Spokane, WA 99204 Phone: 509-768-6852
Karin Noelle Summerall, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 W Sprague Ave, Spokane, WA 99201 Phone: 509-747-8224 Fax: 509-747-0609

Kelli Ann Johnson, MSW - Medicare Clinical Social Worker in Spokane, WA