Kimberly Maria Johnson, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in La Crosse, Wisconsin. Her current practice location is
700 West Ave S, La Crosse, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 785-0940.
Kimberly Maria Johnson is licensed to practice in Wisconsin (license number 9555) 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 1063938595.
Healthcare Provider's Profile
Full Name | Kimberly Maria Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 700 West Ave S, La Crosse, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063938595
- Provider Enumeration Date: 08/16/2017
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 2264966050
- Enrollment ID: I20241115003108
Medical Identifiers
Medical identifiers for Kimberly Maria Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063938595 | NPI | - | NPPES |
1003150004 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 18207-130 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 9555 (Wisconsin) | 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. Kimberly Maria Johnson allows following entities to bill medicare on her behalf.
Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
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Entity Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1841278637 PECOS PAC ID: 0345152443 Enrollment ID: O20100506000523 |
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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. Kimberly Maria 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 |
Kimberly Maria Johnson, LCSW, CSAC 200 1st St Sw, Rochester, MN 55905-0001 Ph: (507) 284-2511 | Kimberly Maria Johnson, LCSW, CSAC 700 West Ave S, La Crosse, WI 54601-8806 Ph: (608) 785-0940 |
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