Mrs Breanna Jo Johnson, BA CADC in Mason City, IA - Medicare Social Worker Provider

Mrs Breanna Jo Johnson, BA CADC is a medicare enrolled "Social Worker - Clinical" provider in Mason City, Iowa. Her current practice location is 320 N Eisenhower Ave, Mason City, Iowa. You can reach out to her office (for appointments etc.) via phone at (641) 424-2391.

Mrs Breanna Jo Johnson is licensed to practice in Iowa (license number 107714) 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 1063847473.

Contact Information

	Mrs Breanna Jo Johnson, BA CADC
	320 N Eisenhower Ave, Mason City, IA 50402-1338
	(641) 424-2391
	(641) 424-0783

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Breanna Jo Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	320 N Eisenhower Ave, Mason City, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063847473
Provider Enumeration Date: 09/05/2013
Last Update Date: 02/27/2024

Medicare PECOS Information:

PECOS PAC ID: 5597102228
Enrollment ID: I20240318001860

Medical Identifiers

Medical identifiers for Mrs Breanna Jo Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063847473	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	107714 (Iowa)	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. Mrs Breanna Jo Johnson allows following entities to bill medicare on her behalf.

Entity Name	Prairie Ridge Integrated Behavioral Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952443632 PECOS PAC ID: 6800169194 Enrollment ID: O20170908000404

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. Mrs Breanna Jo 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
Mrs Breanna Jo Johnson, BA CADC Po Box 1338, 320 N Eisenhower Ave, Mason City, IA 50402-1338 Ph: (641) 424-2391	Mrs Breanna Jo Johnson, BA CADC 320 N Eisenhower Ave, Mason City, IA 50402-1338 Ph: (641) 424-2391

Reviews and Comments

Social Worker in Mason City, IA

Linda S Vold, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Suite Bs, Mason City, IA 50401 Phone: 641-422-7797 Fax: 641-422-7516
Mr. Douglas Alan Brink, LISW, LMFT Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 202 1st St Se, Suite 107, Mason City, IA 50401 Phone: 641-423-3778 Fax: 641-423-3881
Jody Lynne Wiseman, LISW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 124 N. Federal Avenue, Mason City, IA 50401 Phone: 641-423-3864 Fax: 641-423-3836
Ms. Linda Lou Turnure, LICSW LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 112 Brook Ter, Mason City, IA 50401 Phone: 641-424-5582
Michael Benak, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 4th St Sw, Mason City, IA 50401 Phone: 641-422-7779
Christin Witherspoon Squier, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 103 E State St Ste 301, Mason City, IA 50401 Phone: 641-421-2089 Fax: 641-450-0030

Mrs Breanna Jo Johnson, BA CADC - Medicare Clinical Social Worker in Mason City, IA