Mr Randy J Johnson, LCMHC in Clemmons, NC - Medicare Counselor Provider

Mr Randy J Johnson, LCMHC is a medicare enrolled "Counselor - Professional" provider in Clemmons, North Carolina. His current practice location is 2235 Lewisville Clemmons Rd Ste A, Clemmons, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 722-7266.

Mr Randy J Johnson is licensed to practice in North Carolina (license number 3008) 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 1790745404.

Contact Information

	Mr Randy J Johnson, LCMHC
	2235 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012-9342
	(336) 722-7266
	(336) 201-0538

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Randy J Johnson
Gender	Male
Speciality	Counselor - Professional
Location	2235 Lewisville Clemmons Rd Ste A, Clemmons, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790745404
Provider Enumeration Date: 03/25/2006
Last Update Date: 05/03/2023

Medicare PECOS Information:

PECOS PAC ID: 8729423827
Enrollment ID: I20240228003321

Medical Identifiers

Medical identifiers for Mr Randy J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790745404	NPI	-	NPPES
6102482	Medicaid	NC
1236V	Other	NC	BCBS OF NC
D9674	Other	NC	MEDCOST
6102747	Medicaid	NC
D0751	Other	NC	MEDCOST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	3008 (North Carolina)	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 Randy J Johnson allows following entities to bill medicare on his behalf.

Entity Name	Mood Treatment Center, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285867952 PECOS PAC ID: 6103068598 Enrollment ID: O20130814000785

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 Randy J 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 Randy J Johnson, LCMHC 713 S Marshall St, Winston Salem, NC 27101-5808 Ph: (336) 722-7266	Mr Randy J Johnson, LCMHC 2235 Lewisville Clemmons Rd Ste A, Clemmons, NC 27012-9342 Ph: (336) 722-7266

Reviews and Comments

Counselor in Clemmons, NC

Lia Deland, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7719 Whitehorse Dr, Clemmons, NC 27012 Phone: 336-671-1601
Mr. Robert Denig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2255 Lewisville Clemmons Rd, Clemmons, NC 27012 Phone: 336-766-0505 Fax: 336-766-0153
Nicole Arnn, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2570 Harper Rd, Clemmons, NC 27012 Phone: 313-509-7168
Haley Pegram Quick, LCMHCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2554 Lewisville Clemmons Rd Ste 112, Clemmons, NC 27012 Phone: 336-283-2510 Fax: 336-776-0091
Mrs. Melissa Ann Johnson, LCSW, LCAS, CCS Counselor Medicare: Accepting Medicare Assignments Practice Location: 2554 Lewisville Clemmons Rd Ste 112, Clemmons, NC 27012 Phone: 336-283-2510 Fax: 336-776-0091
Marina J. Vendrillo, M.S., LPCA, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7654 Riverview Knoll Ct, Clemmons, NC 27012 Phone: 336-413-6607
Mr. Jeremy Dockery, CADC, SAP, ICAADC, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2511 Neudorf Rd Ste D, Clemmons, NC 27012 Phone: 336-725-5129 Fax: 336-245-1174

Mr Randy J Johnson, LCMHC - Medicare Counselor in Clemmons, NC