Mrs Myra Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mc Minnville, Tennessee. She graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Rutherford County Primary Care and her current practice location is
111 W Court Sq, Suite 3, Mc Minnville, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 507-5279.
Mrs Myra Johnson is licensed to practice in Tennessee (license number LSW0000003680) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699838508.
Healthcare Provider's Profile
Full Name | Mrs Myra Johnson |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 30 Years |
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Location | 111 W Court Sq, Mc Minnville, Tennessee |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Myra Johnson graduated from medical school in 1994
NPI Data:
- NPI Number: 1699838508
- Provider Enumeration Date: 12/19/2006
- Last Update Date: 07/28/2022
Medicare PECOS Information:
- PECOS PAC ID: 1658474648
- Enrollment ID: I20070312000586
Medical Identifiers
Medical identifiers for Mrs Myra Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1699838508 | NPI | - | NPPES |
3151751 | Other | TN | BLUE CROSS BLUE SHIELD |
3921034 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LSW0000003680 (Tennessee) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Rutherford County Primary Care | 6305819483 | 26 |
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 Myra Johnson allows following entities to bill medicare on her behalf.
Entity Name | Rutherford County Primary Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114973237 PECOS PAC ID: 6305819483 Enrollment ID: O20040817000631 |
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Entity Name | Step Up Care Of Tennessee Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023660206 PECOS PAC ID: 5395074728 Enrollment ID: O20190911000795 |
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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 Myra 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 Myra Johnson, LCSW 1453 Hope Way, Murfreesboro, TN 37129-3140 Ph: (615) 893-9390 | Mrs Myra Johnson, LCSW 111 W Court Sq, Suite 3, Mc Minnville, TN 37110-2589 Ph: (931) 507-5279 |
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