Nicholaus Johnson, is a
Student In An Organized Health Care Education/training Program based in Sacramento, California. Nicholaus Johnson is licensed to practice in * (Not Available) (license number ) and current practice location is
2130 Stockton Blvd, Sacramento, California. can be reached at office (for appointments etc.) via phone at
(916) 875-0701.
NPI number for Nicholaus Johnson is 1083116065 and current mailing address is 6509 21st Ave, Sacramento, California.
does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1083116065.
Healthcare Provider's Profile
| Full Name | Nicholaus Johnson |
|---|
| Gender | |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 2130 Stockton Blvd, Sacramento, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083116065
- Provider Enumeration Date: 03/06/2018
- Last Update Date: 08/28/2024
Medical Identifiers
Medical identifiers for Nicholaus Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083116065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | R1264810917 (California) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Nicholaus Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Nicholaus Johnson,
6509 21st Ave,
Sacramento, CA 95820-5842
Ph: (916) 274-1727 | Nicholaus Johnson,
2130 Stockton Blvd,
Sacramento, CA 95817-1337
Ph: (916) 875-0701 |
Reviews and Comments