Marci Ann Johnson, is a
Counselor - Mental Health based in Roseburg, Oregon. Marci Ann Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
3099 Ne Diamond Lake Blvd, Roseburg, Oregon. She can be reached at her office (for appointments etc.) via phone at
(541) 673-3469.
NPI number for Marci Ann Johnson is 1598590499 and her current mailing address is Po Box 1121, Roseburg, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598590499.
Provider's Profile
| Full Name | Marci Ann Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 3099 Ne Diamond Lake Blvd, Roseburg, Oregon |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1598590499
- Provider Enumeration Date: 09/03/2024
- Last Update Date: 09/03/2024
Medical Identifiers
Medical identifiers for Marci Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598590499 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 10020626 (Oregon) | Secondary |
| 163WA0400X | Registered Nurse - Addiction (substance Use Disorder) | 10020626 (Oregon) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 10020626 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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. Marci Ann Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marci Ann Johnson,
Po Box 1121,
Roseburg, OR 97470-0254
Ph: (541) 672-2691 | Marci Ann Johnson,
3099 Ne Diamond Lake Blvd,
Roseburg, OR 97470-3655
Ph: (541) 673-3469 |
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