Mr David Flynn Johnson, LPCC-S in Moraine, OH

Mr David Flynn Johnson, LPCC-S is a medicare enrolled "Counselor - Professional" provider in Moraine, Ohio. His current practice location is 3095 Kettering Blvd, Moraine, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 913-1901.

Mr David Flynn Johnson is licensed to practice in Ohio (license number E.0003965-SUPV) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1154674703.

Contact Information

	Mr David Flynn Johnson, LPCC-S
	3095 Kettering Blvd, Moraine, OH 45439-1983
	(937) 913-1901
	(937) 913-1913

Map and Direction

Healthcare Provider's Profile

Full Name	Mr David Flynn Johnson
Gender	Male
Speciality	Counselor - Professional
Location	3095 Kettering Blvd, Moraine, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154674703
Provider Enumeration Date: 10/19/2012
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 9234573841
Enrollment ID: I20240221003661

Medical Identifiers

Medical identifiers for Mr David Flynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154674703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	E0003965 (Ohio)	Secondary
101YP2500X	Counselor - Professional	E.0003965-SUPV (Ohio)	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. Mr David Flynn Johnson allows following entities to bill medicare on his behalf.

Entity Name	South Community Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427289818 PECOS PAC ID: 7315971066 Enrollment ID: O20050921001092

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. Mr David Flynn 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
Mr David Flynn Johnson, LPCC-S 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 913-1906	Mr David Flynn Johnson, LPCC-S 3095 Kettering Blvd, Moraine, OH 45439-1983 Ph: (937) 913-1901

Reviews and Comments

Counselor in Moraine, OH

Ms. Bonnie R Parish, LISW-W/BCD Counselor Medicare: Accepting Medicare Assignments Practice Location: 2211 Arbor Blvd, Moraine, OH 45439 Phone: 937-222-9481 Fax: 937-222-3710
Laneisha Tiant Gardner, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Daruma Pkwy, Moraine, OH 45439 Phone: 937-262-3500 Fax: 937-262-5902
Amita Lee Pujara, M.S., PC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-534-1359 Fax: 937-534-1347
Mrs. Karla Renee Tolbert, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 513-604-8063
Mrs. Jennifer Louise Pettit, M. ED., LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Hannah Blair, MSW, LSW, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300
Mrs. Michelle L Schaffer, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Kettering Blvd, Moraine, OH 45439 Phone: 937-293-8300 Fax: 937-534-1347

Mr David Flynn Johnson, LPCC-S - Medicare Counselor in Moraine, OH