Mrs Mary Theresa Johnson, MA in Worcester, MA

Mrs Mary Theresa Johnson, MA is a medicare enrolled "Counselor - Mental Health" provider in Worcester, Massachusetts. Her current practice location is 338 Highland Street, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (508) 752-5880.

Mrs Mary Theresa Johnson is licensed to practice in Massachusetts (license number 1003) 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 1164516175.

Contact Information

	Mrs Mary Theresa Johnson, MA
	338 Highland Street, Worcester, MA 01602
	(508) 752-5880
	(508) 831-9967

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Mary Theresa Johnson
Gender	Female
Speciality	Counselor - Mental Health
Location	338 Highland Street, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164516175
Provider Enumeration Date: 10/03/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567802580
Enrollment ID: I20240424002283

Medical Identifiers

Medical identifiers for Mrs Mary Theresa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164516175	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1003 (Massachusetts)	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. Mrs Mary Theresa Johnson allows following entities to bill medicare on her behalf.

Entity Name	Massachusetts Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265989453 PECOS PAC ID: 4082983911 Enrollment ID: O20170707001594

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 Mary Theresa 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
Mrs Mary Theresa Johnson, MA 338 Highland Street, Worcester, MA 01602 Ph: (508) 752-5880	Mrs Mary Theresa Johnson, MA 338 Highland Street, Worcester, MA 01602 Ph: (508) 752-5880

Reviews and Comments

Counselor in Worcester, MA

Mayra A Maldonado, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lincoln St, Worcester, MA 01605 Phone: 508-770-0511
Miss Kara Lynn Ford, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-753-2967
Rosemary Robinson Milburn, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Lincoln St, Worcester, MA 01605 Phone: 508-453-3013 Fax: 508-795-0224
Carina Iati, M.S. Counselor Medicare: Accepting Medicare Assignments Practice Location: 72 Jaques Ave, Worcester, MA 01610 Phone: 508-860-1260
Miss Andrene Latoya Scarlett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 335 Chandler St, Worcester, MA 01602 Phone: 508-767-3038
Efrain Vazquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 345a Greenwood St, Worcester, MA 01607 Phone: 508-363-0200
Robert Jarrard Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Plantation St, Worcester, MA 01604 Phone: 774-262-0426

Mrs Mary Theresa Johnson, MA - Medicare Counselor in Worcester, MA