Toya Elaine Johnson, LCSW - Medicare Counselor in Burnham, IL

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Toya Elaine Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Burnham, Illinois. Her current practice location is 14526 S Muskegon Ave Apt 3a, Burnham, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 287-3942.

Toya Elaine Johnson is licensed to practice in Illinois (license number 149016274) 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 1952708299.

Contact Information

Toya Elaine Johnson, LCSW
14526 S Muskegon Ave Apt 3a,
Burnham, IL 60633-2084
(309) 287-3942
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameToya Elaine Johnson
GenderFemale
SpecialitySocial Worker - Clinical
Location14526 S Muskegon Ave Apt 3a, Burnham, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1952708299
  • Provider Enumeration Date: 12/02/2014
  • Last Update Date: 11/02/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7214390897
  • Enrollment ID: I20230830000624

Medical Identifiers

Medical identifiers for Toya Elaine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952708299NPI-NPPES
149016274OtherILLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 149016274 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 149016274 (Illinois)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. Toya Elaine Johnson allows following entities to bill medicare on her behalf.
Entity NameEdgewood Clinical Services P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295914646
PECOS PAC ID: 3971963901
Enrollment ID: O20230721001228

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. Toya Elaine 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 AddressPractice Location Address
Toya Elaine Johnson, LCSW
14526 S Muskegon Ave Apt 3a,
Burnham, IL 60633-2084

Ph: (309) 287-3942		Toya Elaine Johnson, LCSW
14526 S Muskegon Ave Apt 3a,
Burnham, IL 60633-2084

Ph: (309) 287-3942

Reviews and Comments


Social Worker in Burnham, IL


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.