Mr Clarence Mcneil Johnson Jr, CRNP-PMH in Brandywine, MD

Mr Clarence Mcneil Johnson Jr, CRNP-PMH is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Brandywine, Maryland. His current practice location is 7450 Albert Rd Fl 2, Brandywine, Maryland. You can reach out to his office (for appointments etc.) via phone at (301) 888-2233.

Mr Clarence Mcneil Johnson Jr is licensed to practice in Maryland (license number AC002607) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1740755594.

Contact Information

	Mr Clarence Mcneil Johnson Jr, CRNP-PMH
	7450 Albert Rd Fl 2, Brandywine, MD 20613-3035
	(301) 888-2233
	(301) 888-9133

Map and Direction

Provider's Profile

Full Name	Mr Clarence Mcneil Johnson Jr
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	7450 Albert Rd Fl 2, Brandywine, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740755594
Provider Enumeration Date: 10/09/2018
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 7416320957
Enrollment ID: I20230302001592

Medical Identifiers

Medical identifiers for Mr Clarence Mcneil Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740755594	NPI	-	NPPES
559402201	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AC002607 (Maryland)	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. Mr Clarence Mcneil Johnson Jr allows following entities to bill medicare on his behalf.

Entity Name	Greater Baden Medical Service Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912927344 PECOS PAC ID: 4981632650 Enrollment ID: O20221202000091

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. Mr Clarence Mcneil Johnson Jr 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
Mr Clarence Mcneil Johnson Jr, CRNP-PMH 7450 Albert Rd Fl 3, Brandywine, MD 20613-3035 Ph: (301) 888-2233	Mr Clarence Mcneil Johnson Jr, CRNP-PMH 7450 Albert Rd Fl 2, Brandywine, MD 20613-3035 Ph: (301) 888-2233

Reviews and Comments

Nurse Practitioner Nurses in Brandywine, MD

Mrs. Shelley Deanna Martin, CRNP- FAMILY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7450 Albert Rd, Brandywine, MD 20613 Phone: 301-599-0460
Ozichukwu Awusah, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 8204 Owens Way, Brandywine, MD 20613 Phone: 254-462-2546
Ms. Donna Mcconathy, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7450 Albert Rd Fl 2, Brandywine, MD 20613 Phone: 301-888-2233 Fax: 301-888-9133
Mutiat O. Popoola, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 15518 Kennett Square Way, Brandywine, MD 20613 Phone: 240-988-3779
Tamika Maxwell, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 110, Brandywine, MD 20613 Phone: 301-242-5699 Fax: 301-782-2221
Ms. Latoya Belton, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13201 Hampton Farm Ln, Brandywine, MD 20613 Phone: 703-853-4932
Margaret Derosa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7704 Matapeake Business Dr Ste 200, Brandywine, MD 20613 Phone: 301-812-3900

Mr Clarence Mcneil Johnson Jr, CRNP-PMH - Medicare Nurse Practitioner in Brandywine, MD