Mrs Cleanne Johnson, RD,CD in Pasco, WA - Medicare Dietitian, Registered Provider

Mrs Cleanne Johnson, RD,CD is a medicare enrolled "Dietitian, Registered" provider in Pasco, Washington. Her current practice location is 520 N 4th Ave, Pasco, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 547-7704.

Mrs Cleanne Johnson is licensed to practice in Washington (license number DI60470392) 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 1982005732.

Contact Information

	Mrs Cleanne Johnson, RD,CD
	520 N 4th Ave, Pasco, WA 99301-5257
	(509) 547-7704
	(509) 542-3053

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Cleanne Johnson
Gender	Female
Speciality	Dietitian, Registered
Location	520 N 4th Ave, Pasco, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982005732
Provider Enumeration Date: 09/11/2014
Last Update Date: 09/11/2014

Medicare PECOS Information:

PECOS PAC ID: 9931575362
Enrollment ID: I20221026001091

Medical Identifiers

Medical identifiers for Mrs Cleanne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982005732	NPI	-	NPPES
DI60470392	Other	WA	DIETITIAN CERTIFICATION

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DI60470392 (Washington)	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. Mrs Cleanne Johnson allows following entities to bill medicare on her behalf.

Provider Name	Utica Nutrition Services Certified Dietitian Nutritionist
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1558038232 PECOS PAC ID: 0840666277 Enrollment ID: O20221026001098

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. Mrs Cleanne 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
Mrs Cleanne Johnson, RD,CD 605 Pradera Ct, Pasco, WA 99301-4619 Ph: (509) 542-3052	Mrs Cleanne Johnson, RD,CD 520 N 4th Ave, Pasco, WA 99301-5257 Ph: (509) 547-7704

Reviews and Comments

Dietitian, Registered in Pasco, WA

Mrs. Stefanie Marie Davis, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-542-3052 Fax: 509-542-3053
Samantha Stasia Thai, MS, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4211 W Marie Ct, Pasco, WA 99301 Phone: 509-727-4172
Anne M Hutchinson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 715 W Court St, Pasco, WA 99301 Phone: 509-545-1438
Adriana Valencia Gutierrez, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204
Taylor Nichole Schutzenhofer, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 520 N 4th Ave, Pasco, WA 99301 Phone: 509-547-7704
Laura Sutherland, RD, CD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1608 N Road 44, Pasco, WA 99301 Phone: 509-543-9280
Jill Henderson Allum, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204

Mrs Cleanne Johnson, RD,CD - Medicare Dietitian in Pasco, WA