Avis C Johnson, LPCA in Pembroke, NC - Medicare Counselor Provider

Avis C Johnson, LPCA is a medicare enrolled "Counselor - Professional" provider in Pembroke, North Carolina. Her current practice location is 86 Three Hunts Drive, Suite 86, Pembroke, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 522-0408.

Avis C Johnson is licensed to practice in * (Not Available) (license number A9416) 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 1679824569.

Contact Information

	Avis C Johnson, LPCA
	86 Three Hunts Drive, Suite 86, Pembroke, NC 28372-8998
	(910) 522-0408
	(910) 522-0406

Map and Direction

Healthcare Provider's Profile

Full Name	Avis C Johnson
Gender	Female
Speciality	Counselor - Professional
Location	86 Three Hunts Drive, Pembroke, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679824569
Provider Enumeration Date: 10/02/2012
Last Update Date: 10/02/2012

Medicare PECOS Information:

PECOS PAC ID: 6002264157
Enrollment ID: I20231129002943

Medical Identifiers

Medical identifiers for Avis C Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679824569	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	A9416 (* (Not Available))	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. Avis C Johnson allows following entities to bill medicare on her behalf.

Entity Name	Monarch
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103

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. Avis C 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
Avis C Johnson, LPCA 86 Three Hunts Drive, Suite 86, Pembroke, NC 28372-8998 Ph: (910) 522-0408	Avis C Johnson, LPCA 86 Three Hunts Drive, Suite 86, Pembroke, NC 28372-8998 Ph: (910) 522-0408

Reviews and Comments

Counselor in Pembroke, NC

Mrs. Ariel Hudson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Rd, Pembroke, NC 28372 Phone: 910-521-6271
Dr. Mary-jeanne Raleigh, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Drive, Chavis University Center, Pembroke, NC 28372 Phone: 910-521-6202
William Richard Mathis, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Comtech Dr, Pembroke, NC 28372 Phone: 910-736-3351
Ms. Krystin Star Locklear, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Green Acres Rd, Pembroke, NC 28372 Phone: 910-374-4555
Mrs. Tracy Lynn Locklear, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 E 3rd St, Pembroke, NC 28372 Phone: 910-521-7461
Mrs. Elaine Deese Brewington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 E 3rd St, Pembroke, NC 28372 Phone: 910-521-7461
Jordan Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Rd, Pembroke, NC 28372 Phone: 910-374-4479

Avis C Johnson, LPCA - Medicare Counselor in Pembroke, NC