Jeaneen Johnson, is a
Student In An Organized Health Care Education/training Program based in Pleasant Hill, California. Jeaneen Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3480 Buskirk Ave Ste 210, Pleasant Hill, California. She can be reached at her office (for appointments etc.) via phone at
(925) 933-2627.
NPI number for Jeaneen Johnson is 1619481413 and her current mailing address is 3480 Buskirk Ave Ste 210, Pleasant Hill, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619481413.
Healthcare Provider's Profile
| Full Name | Jeaneen Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 3480 Buskirk Ave Ste 210, Pleasant Hill, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1619481413
- Provider Enumeration Date: 12/01/2017
- Last Update Date: 02/05/2020
Medical Identifiers
Medical identifiers for Jeaneen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619481413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106S00000X | Behavior Technician | RBT-17-33838 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Jeaneen Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jeaneen Johnson,
3480 Buskirk Ave Ste 210,
Pleasant Hill, CA 94523-4304
Ph: (925) 933-2627 | Jeaneen Johnson,
3480 Buskirk Ave Ste 210,
Pleasant Hill, CA 94523-4304
Ph: (925) 933-2627 |
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