Kelley Lynn Johnson, LPC in Great Bend, KS - Medicare Counselor Provider

Kelley Lynn Johnson, LPC is a medicare enrolled "Counselor - Professional" provider in Great Bend, Kansas. Her current practice location is 155 Se 1 Ave, Great Bend, Kansas. You can reach out to her office (for appointments etc.) via phone at (620) 786-0311.

Kelley Lynn Johnson is licensed to practice in Kansas (license number 753) 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 1639296759.

Contact Information

	Kelley Lynn Johnson, LPC
	155 Se 1 Ave, Great Bend, KS 67530-9696
	(620) 786-0311
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelley Lynn Johnson
Gender	Female
Speciality	Counselor - Professional
Location	155 Se 1 Ave, Great Bend, Kansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639296759
Provider Enumeration Date: 03/23/2007
Last Update Date: 01/10/2014

Medicare PECOS Information:

PECOS PAC ID: 5395285282
Enrollment ID: I20240905004666

Medical Identifiers

Medical identifiers for Kelley Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639296759	NPI	-	NPPES
100098090A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	753 (Kansas)	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. Kelley Lynn Johnson allows following entities to bill medicare on her behalf.

Entity Name	Avenues For Change
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114630076 PECOS PAC ID: 3577003466 Enrollment ID: O20240905004630

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. Kelley Lynn 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
Kelley Lynn Johnson, LPC 5634 Eisenhower Ave, Great Bend, KS 67530-6324 Ph: (620) 786-0311	Kelley Lynn Johnson, LPC 155 Se 1 Ave, Great Bend, KS 67530-9696 Ph: (620) 786-0311

Reviews and Comments

Counselor in Great Bend, KS

Charity Ann Muth, LCAC/LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1916 16th St, Great Bend, KS 67530 Phone: 620-792-5405
Ashley Kathryn Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1406 Harding St, Great Bend, KS 67530 Phone: 316-429-8678
Mrs. Carol Louise Dellinger, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 245 Ne 30 Rd, Great Bend, KS 67530 Phone: 620-792-9295 Fax: 620-792-3238
Sherry K Pruter, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 155 Se 1 Ave, Great Bend, KS 67530 Phone: 620-786-7105
Drew Andrew Hosman Sr., LCPC Counselor Medicare: Medicare Enrolled Practice Location: 1105 Main St Ste D, Great Bend, KS 67530 Phone: 620-282-7755
Alisha Bell-markley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1819 11th St, Great Bend, KS 67530 Phone: 620-603-6257 Fax: 620-603-6259
Laura N Haugaard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5815 Broadway, Great Bend, KS 67530 Phone: 620-792-2544 Fax: 620-792-7052

Kelley Lynn Johnson, LPC - Medicare Counselor in Great Bend, KS