Elaine Johnson, is a medicare enrolled "Dietitian, Registered" provider in Waterford, Pennsylvania. Her current practice location is
8721 Sunset Trl, Waterford, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 323-3920.
Elaine Johnson is licensed to practice in Pennsylvania (license number DN002780) 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 1285132662.
Healthcare Provider's Profile
Full Name | Elaine Johnson |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 8721 Sunset Trl, Waterford, Pennsylvania |
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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: 1285132662
- Provider Enumeration Date: 01/31/2018
- Last Update Date: 01/31/2018
Medicare PECOS Information:
- PECOS PAC ID: 6305284225
- Enrollment ID: I20240410002989
Medical Identifiers
Medical identifiers for Elaine Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285132662 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | DN002780 (Pennsylvania) | 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. Elaine Johnson allows following entities to bill medicare on her behalf.
Provider Name | Marke Nutrition Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1932977063 PECOS PAC ID: 5496193310 Enrollment ID: O20240410002840 |
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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. 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 Address | Practice Location Address |
Elaine Johnson, 8721 Sunset Trl, Waterford, PA 16441-5507 Ph: (814) 323-3920 | Elaine Johnson, 8721 Sunset Trl, Waterford, PA 16441-5507 Ph: (814) 323-3920 |
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