Brian Burke Johnson, PLMHP is a medicare enrolled "Psychologist" provider in Boys Town, Nebraska. He graduated from healthcare school in 2020 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Blue Ridge Psychological Services, Llc and his current practice location is
13460 Walsh Dr, Boys Town, Nebraska. You can reach out to his office (for appointments etc.) via phone at
(531) 355-3358.
Brian Burke Johnson is licensed to practice in Georgia (license number PSY004540) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1235796004.
Healthcare Provider's Profile
| Full Name | Brian Burke Johnson |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 13460 Walsh Dr, Boys Town, Nebraska |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brian Burke Johnson graduated from medical school in 2020
NPI Data:
- NPI Number: 1235796004
- Provider Enumeration Date: 05/28/2019
- Last Update Date: 09/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173920394
- Enrollment ID: I20210930000301
Medical Identifiers
Medical identifiers for Brian Burke Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235796004 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 11864 (Nebraska) | Secondary |
| 103T00000X | Psychologist | PSY004540 (Georgia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Blue Ridge Psychological Services, Llc | 1759428063 | 2 |
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. Brian Burke Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Blue Ridge Psychological Services, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750524781
PECOS PAC ID: 1759428063
Enrollment ID: O20091019000599 |
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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. Brian Burke 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 |
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Brian Burke Johnson, PLMHP
2313 N Webb Rd,
Grand Island, NE 68803-1743
Ph: (308) 381-8851 | Brian Burke Johnson, PLMHP
13460 Walsh Dr,
Boys Town, NE 68010-7529
Ph: (531) 355-3358 |
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