Mrs Ruby Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Sachse, Texas. Her current practice location is
7700 Cody Ln Apt 1001, Sachse, Texas. You can reach out to her office (for appointments etc.) via phone at
(214) 399-6286.
Mrs Ruby Johnson is licensed to practice in Texas (license number 39640) 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 1710334396.
Healthcare Provider's Profile
Full Name | Mrs Ruby Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7700 Cody Ln Apt 1001, Sachse, Texas |
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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: 1710334396
- Provider Enumeration Date: 05/24/2016
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799017414
- Enrollment ID: I20191030001835
Medical Identifiers
Medical identifiers for Mrs Ruby Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710334396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 39640 (Texas) | 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 Ruby Johnson allows following entities to bill medicare on her behalf.
Entity Name | Assurasource Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1194746016 PECOS PAC ID: 8123125580 Enrollment ID: O20070518000258 |
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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 Ruby 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 Ruby Johnson, LCSW 7700 Cody Ln Apt 1001, Sachse, TX 75048-6675 Ph: (214) 399-6286 | Mrs Ruby Johnson, LCSW 7700 Cody Ln Apt 1001, Sachse, TX 75048-6675 Ph: (214) 399-6286 |
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