Ms Tina Johnson, LICSW in Cottonwood, AZ - Medicare Social Worker Provider

Ms Tina Johnson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Cottonwood, Arizona. Her current practice location is 799 Cove Pkwy, Cottonwood, Arizona. You can reach out to her office (for appointments etc.) via phone at (701) 261-9685.

Ms Tina Johnson is licensed to practice in Arizona (license number LCSW-17813) 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 1073579306.

Contact Information

	Ms Tina Johnson, LICSW
	799 Cove Pkwy, Cottonwood, AZ 86326-4683
	(701) 261-9685
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Tina Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	799 Cove Pkwy, Cottonwood, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073579306
Provider Enumeration Date: 04/25/2006
Last Update Date: 05/11/2020

Medicare PECOS Information:

PECOS PAC ID: 9931193695
Enrollment ID: I20191231001660

Medical Identifiers

Medical identifiers for Ms Tina Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073579306	NPI	-	NPPES
1454874	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-17813 (Arizona)	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. Ms Tina Johnson allows following entities to bill medicare on her behalf.

Entity Name	Tribe Wellness Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073004339 PECOS PAC ID: 0244589174 Enrollment ID: O20180824002709

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. Ms Tina 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
Ms Tina Johnson, LICSW 270 S Desperado Dr, Cottonwood, AZ 86326-7356 Ph: (701) 261-9685	Ms Tina Johnson, LICSW 799 Cove Pkwy, Cottonwood, AZ 86326-4683 Ph: (701) 261-9685

Reviews and Comments

Social Worker in Cottonwood, AZ

Laura Cousins, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St Bldg A, Cottonwood, AZ 86326 Phone: 928-634-2239 Fax: 928-634-8960
Margaret Anne Walden, LCSW, ATR Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 751 E Aspen St, Suite L, Cottonwood, AZ 86326 Phone: 928-399-0608
Debra Lee Logan, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 101 S Main St Ste D, Cottonwood, AZ 86326 Phone: 282-029-0549
Kali Gajewski, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St # Az, Cottonwood, AZ 86326 Phone: 928-634-2236
Peggy A James, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 E Cottonwood St, Cottonwood, AZ 86326 Phone: 928-634-2236 Fax: 928-634-8960
Ursula E. Mann, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 257 Justin Dr, #b, Cottonwood, AZ 86326 Phone: 928-649-9808

Ms Tina Johnson, LICSW - Medicare Clinical Social Worker in Cottonwood, AZ