Kjersten Johnsen, APN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health" in Watertown, Massachusetts. Her current practice location is
290 Pleasant St, 102, Watertown, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 571-9221.
Kjersten Johnsen is licensed to practice in Massachusetts (license number RN17902) 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 1407172588.
Provider's Profile
| Full Name | Kjersten Johnsen |
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| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 290 Pleasant St, Watertown, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407172588
- Provider Enumeration Date: 04/14/2010
- Last Update Date: 04/14/2010
Medicare PECOS Information:
- PECOS PAC ID: 2365814753
- Enrollment ID: I20230213001055
Medical Identifiers
Medical identifiers for Kjersten Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407172588 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | RN17902 (Massachusetts) | 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. Kjersten Johnsen allows following entities to bill medicare on her behalf.
| Entity Name | The Mclean Hospital Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114979580
PECOS PAC ID: 9436040961
Enrollment ID: O20040323001228 |
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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. Kjersten Johnsen 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 |
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Kjersten Johnsen, APN
290 Pleasant St, 102,
Watertown, MA 02472-2427
Ph: (617) 571-9221 | Kjersten Johnsen, APN
290 Pleasant St, 102,
Watertown, MA 02472-2427
Ph: (617) 571-9221 |
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