Dr Carlene E Johnson, OTD,OTR/L is a medicare enrolled "Occupational Therapist" provider in College Grove, Tennessee. Her current practice location is
6480 Peytonsville Arno Rd, College Grove, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 944-5649.
Dr Carlene E Johnson is licensed to practice in Tennessee (license number OT0000001542) 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 1053919977.
Healthcare Provider's Profile
Full Name | Dr Carlene E Johnson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 6480 Peytonsville Arno Rd, College Grove, Tennessee |
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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: 1053919977
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 04/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517370935
- Enrollment ID: I20210104001373
Medical Identifiers
Medical identifiers for Dr Carlene E Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053919977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | OT0000001542 (Tennessee) | 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. Dr Carlene E Johnson allows following entities to bill medicare on her behalf.
Provider Name | My Liveability Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558963975 PECOS PAC ID: 6709299126 Enrollment ID: O20210104001232 |
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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. Dr Carlene E 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 |
Dr Carlene E Johnson, OTD,OTR/L 6480 Peytonsville Arno Rd, College Grove, TN 37046 Ph: (615) 944-5649 | Dr Carlene E Johnson, OTD,OTR/L 6480 Peytonsville Arno Rd, College Grove, TN 37046 Ph: (615) 944-5649 |
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