Ms Diana Ellen Johnson, APRN is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Ivoryton, Connecticut. Her current practice location is
2 Rachel Ln, Ivoryton, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 304-0469.
Ms Diana Ellen Johnson is licensed to practice in Connecticut (license number 002865) 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 1336388032.
Provider's Profile
Full Name | Ms Diana Ellen Johnson |
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Gender | Female |
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Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
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Location | 2 Rachel Ln, Ivoryton, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1336388032
- Provider Enumeration Date: 02/19/2009
- Last Update Date: 02/19/2009
Medicare PECOS Information:
- PECOS PAC ID: 0749412286
- Enrollment ID: I20140415001333
Medical Identifiers
Medical identifiers for Ms Diana Ellen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336388032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 002865 (Connecticut) | 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. Ms Diana Ellen Johnson allows following entities to bill medicare on her behalf.
Entity Name | Wheeler Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
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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. Ms Diana 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 |
Ms Diana Ellen Johnson, APRN 2 Rachel Ln, Ivoryton, CT 06442-1154 Ph: (860) 304-0469 | Ms Diana Ellen Johnson, APRN 2 Rachel Ln, Ivoryton, CT 06442-1154 Ph: (860) 304-0469 |
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