Robby Gordon Johnson, MA in Boise, ID - Medicare Counselor Provider

Robby Gordon Johnson, MA is a medicare enrolled "Counselor" provider in Boise, Idaho. His current practice location is 100 E Idaho St, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-2711.

Robby Gordon Johnson is licensed to practice in Idaho (license number LCPC 4843) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1144654849.

Contact Information

	Robby Gordon Johnson, MA
	100 E Idaho St, Boise, ID 83712-6267
	(208) 381-2711
	(208) 381-4025

Map and Direction

Healthcare Provider's Profile

Full Name	Robby Gordon Johnson
Gender	Male
Speciality	Counselor
Location	100 E Idaho St, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144654849
Provider Enumeration Date: 08/29/2013
Last Update Date: 12/04/2023

Medicare PECOS Information:

PECOS PAC ID: 5698125755
Enrollment ID: I20240102002333

Medical Identifiers

Medical identifiers for Robby Gordon Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144654849	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	LH 00011315 (Washington)	Secondary
101Y00000X	Counselor	LCPC 4843 (Idaho)	Primary
101Y00000X	Counselor	C2770 (Oregon)	Secondary

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. Robby Gordon Johnson allows following entities to bill medicare on his behalf.

Entity Name	St Lukes Clinic-treasure Valley Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045

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. Robby Gordon 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
Robby Gordon Johnson, MA 190 E Bannock St, Boise, ID 83712-6241 Ph: () -	Robby Gordon Johnson, MA 100 E Idaho St, Boise, ID 83712-6267 Ph: (208) 381-2711

Reviews and Comments

Counselor in Boise, ID

Roxanne L Pickerel, M.S., LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 W Fort St, Boise, ID 83702 Phone: 208-841-8109 Fax: 208-203-1879
Mrs. Mary Claire Fery, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Orchard St Ste 128, Boise, ID 83705 Phone: 208-918-1283
Rachel Marie Piazza Voight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 E Park Blvd, Boise, ID 83712 Phone: 208-381-5970
Ms. Terri Turpin, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1408 W Hays St, Boise, ID 83702 Phone: 208-429-5730 Fax: 208-336-7125
Mr. Charles Edward Vollet, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1510 Robert Street, Suite 101, Boise, ID 83705 Phone: 208-344-0844 Fax: 208-344-0592
Debra Lynne Gallagher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1111 S Orchard St Ste 290, Boise, ID 83705 Phone: 208-343-2770
Caitlin Hart, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3350 W Americana Ter Ste 360-e, Boise, ID 83706 Phone: 208-503-1230

Robby Gordon Johnson, MA - Medicare Counselor in Boise, ID