Marie Johnson, is a
Driver based in Park Forest, Illinois. Marie Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
364 Neola St, Park Forest, Illinois. She can be reached at her office (for appointments etc.) via phone at
(708) 362-8960.
NPI number for Marie Johnson is 1467219683 and her current mailing address is 364 Neola St, Park Forest, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467219683.
Healthcare Provider's Profile
| Full Name | Marie Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Driver |
|---|
| Location | 364 Neola St, Park Forest, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467219683
- Provider Enumeration Date: 03/04/2024
- Last Update Date: 03/04/2024
Medical Identifiers
Medical identifiers for Marie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467219683 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Secondary |
| 172A00000X | Driver | (* (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. Marie 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 |
|---|
Marie Johnson,
364 Neola St,
Park Forest, IL 60466-2334
Ph: (708) 362-8960 | Marie Johnson,
364 Neola St,
Park Forest, IL 60466-2334
Ph: (708) 362-8960 |
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