Mrs Gwendolyn Johnson, PHD is a
Community/behavioral Health based in Okemah, Oklahoma. Mrs Gwendolyn Johnson is licensed to practice in Oklahoma (license number ) and her current practice location is
209 W Broadway St, Okemah, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 623-2922.
NPI number for Mrs Gwendolyn Johnson is 1245507946 and her current mailing address is 3412 Marla Ln, Edmond, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245507946.
Healthcare Provider's Profile
Full Name | Mrs Gwendolyn Johnson |
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Gender | Female |
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Speciality | Community/behavioral Health |
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Location | 209 W Broadway St, Okemah, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1245507946
- Provider Enumeration Date: 11/23/2011
- Last Update Date: 11/23/2011
Medical Identifiers
Medical identifiers for Mrs Gwendolyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245507946 | NPI | - | NPPES |
BGJ2011 | Medicaid | OK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (Oklahoma) | Secondary |
251S00000X | Community/behavioral Health | (Oklahoma) | 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. Mrs Gwendolyn 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 |
Mrs Gwendolyn Johnson, PHD 3412 Marla Ln, Edmond, OK 73034-8229 Ph: (405) 359-8298 | Mrs Gwendolyn Johnson, PHD 209 W Broadway St, Okemah, OK 74859-2618 Ph: (918) 623-2922 |
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