Ms Elizabeth Gail Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Hayward, Wisconsin. She graduated from healthcare school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Kettle Moraine Counseling Llc and her current practice location is
13380 W Trepania Rd, Hayward, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 638-5100.
Ms Elizabeth Gail Johnson is licensed to practice in Wisconsin (license number 7275) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417084559.
Healthcare Provider's Profile
| Full Name | Ms Elizabeth Gail Johnson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 13380 W Trepania Rd, Hayward, Wisconsin |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Elizabeth Gail Johnson graduated from medical school in 2002
NPI Data:
- NPI Number: 1417084559
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 04/23/2015
Medicare PECOS Information:
- PECOS PAC ID: 0941434047
- Enrollment ID: I20131003000138
Medical Identifiers
Medical identifiers for Ms Elizabeth Gail Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1417084559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14818 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 7275 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Kettle Moraine Counseling Llc | 8527353747 | 11 |
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 Elizabeth Gail Johnson allows following entities to bill medicare on her behalf.
| Entity Name | Kettle Moraine Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568790954
PECOS PAC ID: 8527353747
Enrollment ID: O20200416001123 |
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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 Elizabeth Gail 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 |
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Ms Elizabeth Gail Johnson, LCSW
13380 W Trepania Rd,
Hayward, WI 54843-2186
Ph: (715) 638-5100 | Ms Elizabeth Gail Johnson, LCSW
13380 W Trepania Rd,
Hayward, WI 54843-2186
Ph: (715) 638-5100 |
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