Ms Annjavetta D Johnson, MED in Idabel, OK - Medicare Counselor Provider

Ms Annjavetta D Johnson, MED is a medicare enrolled "Counselor - Mental Health" provider in Idabel, Oklahoma. Her current practice location is 2000 E Lincoln Rd, Idabel, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 286-6639.

Ms Annjavetta D 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 1538480157.

Contact Information

	Ms Annjavetta D Johnson, MED
	2000 E Lincoln Rd, Idabel, OK 74745-7353
	(580) 286-6639
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Annjavetta D Johnson
Gender	Female
Speciality	Counselor - Mental Health
Location	2000 E Lincoln Rd, Idabel, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538480157
Provider Enumeration Date: 06/17/2010
Last Update Date: 06/03/2019

Medicare PECOS Information:

PECOS PAC ID: 0648615542
Enrollment ID: I20240301001650

Medical Identifiers

Medical identifiers for Ms Annjavetta D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538480157	NPI	-	NPPES
1538480157	Medicaid	OK

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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 Annjavetta D Johnson allows following entities to bill medicare on her behalf.

Entity Name	State Of Oklahoma
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588755532 PECOS PAC ID: 4486558962 Enrollment ID: O20031125000846

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 Annjavetta D 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 Annjavetta D Johnson, MED 2000 E Lincoln Rd, Idabel, OK 74745-7353 Ph: (580) 286-6639	Ms Annjavetta D Johnson, MED 2000 E Lincoln Rd, Idabel, OK 74745-7353 Ph: (580) 286-6639

Reviews and Comments

Counselor in Idabel, OK

Tina Simer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185
Catherine White, M.ED, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 S Central Ave, Idabel, OK 74745 Phone: 580-212-9193 Fax: 580-286-3478
Kristy Woolsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Se Washington St, Idabel, OK 74745 Phone: 580-286-6671
Barbara Sharon Lumsden, LPC, LADC, MBS Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045
George Donald Haslam Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 S Central Ave, Idabel, OK 74745 Phone: 580-286-5045
Corey Griffin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 116 Se Ave N, Idabel, OK 74745 Phone: 580-286-6671 Fax: 580-286-5747
Brandy T Hickerson, MED, PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 S Central Ave, Idabel, OK 74745 Phone: 580-286-5184 Fax: 580-286-5185

Ms Annjavetta D Johnson, MED - Medicare Counselor in Idabel, OK