Dr Jennifer Jo Kostik Johnson, DPT, ATC is a medicare enrolled "Specialist/technologist - Athletic Trainer" provider in West Newton, Pennsylvania. Her current practice location is
112 Walnut Ln, Suite 10, West Newton, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 872-0356.
Dr Jennifer Jo Kostik Johnson is licensed to practice in Pennsylvania (license number RT003595) 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 1134163538.
Healthcare Provider's Profile
| Full Name | Dr Jennifer Jo Kostik Johnson |
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| Gender | Female |
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| Speciality | Specialist/technologist - Athletic Trainer |
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| Location | 112 Walnut Ln, West Newton, Pennsylvania |
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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: 1134163538
- Provider Enumeration Date: 06/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3072559707
- Enrollment ID: I20050705000474
Medical Identifiers
Medical identifiers for Dr Jennifer Jo Kostik Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134163538 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | PT017304L (Pennsylvania) | Primary |
| 2255A2300X | Specialist/technologist - Athletic Trainer | RT003595 (Pennsylvania) | 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 Jennifer Jo Kostik Johnson allows following entities to bill medicare on her behalf.
| Provider Name | Novacare Outpatient Rehabilitation East Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1487010583
PECOS PAC ID: 3678480290
Enrollment ID: O20140220000935 |
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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 Jennifer Jo Kostik 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 |
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Dr Jennifer Jo Kostik Johnson, DPT, ATC
127 Shultz St,
Connellsville, PA 15425-2220
Ph: (724) 277-2365 | Dr Jennifer Jo Kostik Johnson, DPT, ATC
112 Walnut Ln, Suite 10,
West Newton, PA 15089-1170
Ph: (724) 872-0356 |
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