Stephanie Octavius- Johnson, is a
Case Manager/care Coordinator based in Far Rockaway, New York. Stephanie Octavius- Johnson is licensed to practice in New York (license number ) and her current practice location is
6603 Beach Channel Dr, Far Rockaway, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 471-8671.
NPI number for Stephanie Octavius- Johnson is 1124865217 and her current mailing address is 12019 143rd St, Jamaica, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124865217.
Healthcare Provider's Profile
Full Name | Stephanie Octavius- Johnson |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 6603 Beach Channel Dr, Far Rockaway, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124865217
- Provider Enumeration Date: 07/15/2024
- Last Update Date: 11/06/2024
Medical Identifiers
Medical identifiers for Stephanie Octavius- Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124865217 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
171M00000X | Case Manager/care Coordinator | (New York) | 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. Stephanie Octavius- 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 |
Stephanie Octavius- Johnson, 12019 143rd St, Jamaica, NY 11436-1506 Ph: (347) 666-0938 | Stephanie Octavius- Johnson, 6603 Beach Channel Dr, Far Rockaway, NY 11692-1433 Ph: (718) 471-8671 |
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