Ellen Johnson, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Burton, Michigan. She graduated from medical school in 1983 and has 41 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Catholic Charities Of Shiawassee And Genesee Counties and her current practice location is
4165 E Lippincott Blvd, Burton, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 744-1883.
Ellen Johnson is licensed to practice in Michigan (license number EJ008605) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407986813.
Physician's Profile
Full Name | Ellen Johnson |
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Gender | Female |
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Speciality | Psychiatry |
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Experience | 41 Years |
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Location | 4165 E Lippincott Blvd, Burton, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ellen Johnson graduated from medical school in 1983
NPI Data:
- NPI Number: 1407986813
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4082628391
- Enrollment ID: I20060125000895
Medical Identifiers
Medical identifiers for Ellen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407986813 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | EJ008605 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Catholic Charities Of Shiawassee And Genesee Counties | 9537158068 | 2 |
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. Ellen Johnson allows following entities to bill medicare on her behalf.
Entity Name | Catholic Charities Of Shiawassee And Genesee Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801819149 PECOS PAC ID: 9537158068 Enrollment ID: O20040510001415 |
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Entity Name | Triad Associates Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801953674 PECOS PAC ID: 8527016245 Enrollment ID: O20050110000779 |
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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. Ellen 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 |
Ellen Johnson, DO 4165 E Lippincott Blvd, Burton, MI 48519 Ph: (810) 744-1883 | Ellen Johnson, DO 4165 E Lippincott Blvd, Burton, MI 48519 Ph: (810) 744-1883 |
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