Judith Lee Johannsen, LCW is a medicare enrolled "Social Worker - Clinical" provider in Black Mountain, North Carolina. Her current practice location is
201 N Ridgeway Ave, Black Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 669-9798.
Judith Lee Johannsen is licensed to practice in North Carolina (license number C010930) 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 1871035097.
Healthcare Provider's Profile
| Full Name | Judith Lee Johannsen |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 201 N Ridgeway Ave, Black Mountain, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1871035097
- Provider Enumeration Date: 11/07/2016
- Last Update Date: 11/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 4183980600
- Enrollment ID: I20171115002707
Medical Identifiers
Medical identifiers for Judith Lee Johannsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1871035097 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 21980 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | P009634 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C010930 (North Carolina) | 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. Judith Lee Johannsen allows following entities to bill medicare on her behalf.
| Entity Name | Ncg Acquisition, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578091161
PECOS PAC ID: 1850657446
Enrollment ID: O20171115000959 |
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| Entity Name | Black Mountain Counseling Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225314586
PECOS PAC ID: 9436408648
Enrollment ID: O20180822000406 |
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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. Judith Lee Johannsen 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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Judith Lee Johannsen, LCW
201 N Ridgeway Ave,
Black Mountain, NC 28711-3506
Ph: (828) 669-9798 | Judith Lee Johannsen, LCW
201 N Ridgeway Ave,
Black Mountain, NC 28711-3506
Ph: (828) 669-9798 |
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