Mrs Hostonia Segree Johnson, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Bradenton, Florida. Her current practice location is
101 Riverfront Blvd Ste 100, Bradenton, Florida. You can reach out to her office (for appointments etc.) via phone at
(866) 936-5250.
Mrs Hostonia Segree Johnson is licensed to practice in Florida (license number SW22483) 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 1003634171.
Healthcare Provider's Profile
Full Name | Mrs Hostonia Segree Johnson |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 101 Riverfront Blvd Ste 100, Bradenton, Florida |
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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: 1003634171
- Provider Enumeration Date: 09/28/2024
- Last Update Date: 10/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527591619
- Enrollment ID: I20241028003542
Medical Identifiers
Medical identifiers for Mrs Hostonia Segree Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003634171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW22483 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | SW22483 (Florida) | 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 Hostonia Segree Johnson allows following entities to bill medicare on her behalf.
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
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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 Hostonia Segree 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 Hostonia Segree Johnson, LCSW 3222 Klays Ct, Royal Palm Beach, FL 33411-8324 Ph: (863) 228-3370 | Mrs Hostonia Segree Johnson, LCSW 101 Riverfront Blvd Ste 100, Bradenton, FL 34205-8870 Ph: (866) 936-5250 |
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