Keyonna Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fairdale, Kentucky. Her current practice location is
227 Tex Ave, Fairdale, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 509-9623.
Keyonna Johnson is licensed to practice in Kentucky (license number 254076) 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 1336706860.
Healthcare Provider's Profile
| Full Name | Keyonna Johnson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 227 Tex Ave, Fairdale, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336706860
- Provider Enumeration Date: 05/21/2019
- Last Update Date: 06/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749513778
- Enrollment ID: I20190606001862
Medical Identifiers
Medical identifiers for Keyonna Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336706860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | 254076 (Kentucky) | 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. Keyonna Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Seven Counties Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598793671
PECOS PAC ID: 1759294424
Enrollment ID: O20031110000034 |
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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. Keyonna 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 |
|---|
Keyonna Johnson, LCSW
227 Tex Ave,
Fairdale, KY 40118-9103
Ph: (502) 509-9623 | Keyonna Johnson, LCSW
227 Tex Ave,
Fairdale, KY 40118-9103
Ph: (502) 509-9623 |
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