Mrs Deborah Suzanne Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lucerne, California. Her current practice location is
6300 E Hwy. 20, Lucerne, California. You can reach out to her office (for appointments etc.) via phone at
(707) 274-9299.
Mrs Deborah Suzanne Johnson is licensed to practice in California (license number 62395) 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 1649333444.
Healthcare Provider's Profile
Full Name | Mrs Deborah Suzanne Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6300 E Hwy. 20, Lucerne, 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: 1649333444
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 09/04/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638617533
- Enrollment ID: I20240809001643
Medical Identifiers
Medical identifiers for Mrs Deborah Suzanne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649333444 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 62395 (California) | 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 Deborah Suzanne Johnson allows following entities to bill medicare on her behalf.
Entity Name | Lake County Tribal Health Consortium Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
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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. Mrs Deborah Suzanne 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 Deborah Suzanne Johnson, LCSW Po Box 3074, Nice, CA 95464-3074 Ph: (707) 994-7090 | Mrs Deborah Suzanne Johnson, LCSW 6300 E Hwy. 20, Lucerne, CA 95458 Ph: (707) 274-9299 |
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