Ms Kimberly Anne Johnson, LPC is a medicare enrolled "Counselor" provider in Mount Storm, West Virginia. Her current practice location is
14311 George Washington Hwy, Mount Storm, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 693-7616.
Ms Kimberly Anne Johnson is licensed to practice in * (Not Available) (license number ) 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 1801090980.
Healthcare Provider's Profile
Full Name | Ms Kimberly Anne Johnson |
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Gender | Female |
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Speciality | Counselor |
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Location | 14311 George Washington Hwy, Mount Storm, West Virginia |
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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: 1801090980
- Provider Enumeration Date: 06/13/2007
- Last Update Date: 12/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 9931560448
- Enrollment ID: I20240619000866
Medical Identifiers
Medical identifiers for Ms Kimberly Anne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801090980 | NPI | - | NPPES |
0023397001 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | 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. Ms Kimberly Anne Johnson allows following entities to bill medicare on her behalf.
Entity Name | Preston Taylor Community Health Centers, Incorporated |
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Entity Type | Part A Provider - Federally Qualified Health Center (fqhc) |
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Entity Identifiers | NPI Number: 1700819471 PECOS PAC ID: 3072406438 Enrollment ID: O20060914000065 |
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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. Ms Kimberly Anne 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 |
Ms Kimberly Anne Johnson, LPC 25 W Bluemont St, Grafton, WV 26354-1242 Ph: (043) 265-0312 | Ms Kimberly Anne Johnson, LPC 14311 George Washington Hwy, Mount Storm, WV 26739-8757 Ph: (304) 693-7616 |
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