Mr Thomas Edgar Johnson, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Brownstown Twp, Michigan. He graduated from medical school in 1975 and has 49 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Apex Behavioral Health Western Wayne and his current practice location is
19366 Allen Rd Ste C, Brownstown Twp, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 479-0949.
Mr Thomas Edgar Johnson is licensed to practice in Michigan (license number 6801011164) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639436173.
Healthcare Provider's Profile
Full Name | Mr Thomas Edgar Johnson |
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Gender | Male |
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Speciality | Clinical Social Worker |
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Experience | 49 Years |
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Location | 19366 Allen Rd Ste C, Brownstown Twp, Michigan |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Thomas Edgar Johnson graduated from medical school in 1975
NPI Data:
- NPI Number: 1639436173
- Provider Enumeration Date: 04/23/2012
- Last Update Date: 04/23/2012
Medicare PECOS Information:
- PECOS PAC ID: 8325934136
- Enrollment ID: I20120808000251
Medical Identifiers
Medical identifiers for Mr Thomas Edgar Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639436173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801011164 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Apex Behavioral Health Western Wayne | 4183885593 | 8 |
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. Mr Thomas Edgar Johnson allows following entities to bill medicare on his behalf.
Entity Name | Apex Behavioral Health Western Wayne |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962779710 PECOS PAC ID: 4183885593 Enrollment ID: O20120411000775 |
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Entity Name | Apex Down River Behavioral Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922386952 PECOS PAC ID: 2567623655 Enrollment ID: O20120417000614 |
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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. Mr Thomas Edgar 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 |
Mr Thomas Edgar Johnson, LMSW 9351 Willow Rd, Willis, MI 48191-9725 Ph: (734) 461-6447 | Mr Thomas Edgar Johnson, LMSW 19366 Allen Rd Ste C, Brownstown Twp, MI 48183-6810 Ph: (734) 479-0949 |
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