Lisa Ann Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Brookfield, Wisconsin. Her current practice location is
12720 W North Ave, Brookfield, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 785-1500.
Lisa Ann Johnson is licensed to practice in Wisconsin (license number 8563) 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 1508287780.
Healthcare Provider's Profile
Full Name | Lisa Ann Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 12720 W North Ave, Brookfield, 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: 1508287780
- Provider Enumeration Date: 12/14/2013
- Last Update Date: 09/20/2016
Medicare PECOS Information:
- PECOS PAC ID: 9436446705
- Enrollment ID: I20160930000117
Medical Identifiers
Medical identifiers for Lisa Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508287780 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 8563-123 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 8563 (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. Lisa Ann Johnson allows following entities to bill medicare on her behalf.
Entity Name | Ascension Medical Group-southeast Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421 |
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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. Lisa Ann 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 |
Lisa Ann Johnson, LCSW 12720 W North Ave, Brookfield, WI 53005-4637 Ph: () - | Lisa Ann Johnson, LCSW 12720 W North Ave, Brookfield, WI 53005-4637 Ph: (262) 785-1500 |
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