Dr Johari Makeba Massey, MA, MS, PHD is a medicare enrolled "Psychologist - Clinical" provider in Gwynn Oak, Maryland. Her current practice location is
2020 Russell Ave, Gwynn Oak, Maryland. You can reach out to her office (for appointments etc.) via phone at
(646) 246-9655.
Dr Johari Makeba Massey is licensed to practice in Maryland (license number 05339) 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 1821282807.
Healthcare Provider's Profile
Full Name | Dr Johari Makeba Massey |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 2020 Russell Ave, Gwynn Oak, Maryland |
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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: 1821282807
- Provider Enumeration Date: 08/31/2007
- Last Update Date: 02/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 9436471513
- Enrollment ID: I20141126000933
Medical Identifiers
Medical identifiers for Dr Johari Makeba Massey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1821282807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TA0400X | Psychologist - Addiction (substance Use Disorder) | 05339 (Maryland) | Secondary |
103TC0700X | Psychologist - Clinical | 019895 (New York) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 05339 (Maryland) | Secondary |
103TC0700X | Psychologist - Clinical | 05339 (Maryland) | 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. Dr Johari Makeba Massey allows following entities to bill medicare on her behalf.
Entity Name | Columbia Counseling Center Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578504296 PECOS PAC ID: 9931198843 Enrollment ID: O20040506001676 |
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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. Dr Johari Makeba Massey 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 |
Dr Johari Makeba Massey, MA, MS, PHD 2513 N Rolling Rd Unit 47071, Windsor Mill, MD 21244-7603 Ph: (443) 272-5347 | Dr Johari Makeba Massey, MA, MS, PHD 2020 Russell Ave, Gwynn Oak, MD 21207-5219 Ph: (646) 246-9655 |
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