Traci I Johnson, PT in Broken Bow, NE - Medicare Physical Therapist Provider

Traci I Johnson, PT is a medicare enrolled "Physical Therapist" provider in Broken Bow, Nebraska. Her current practice location is 325 S 1st Ave, Broken Bow, Nebraska. You can reach out to her office (for appointments etc.) via phone at (308) 872-5111.

Traci I Johnson is licensed to practice in Nebraska (license number 4501) 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 1598440943.

Contact Information

	Traci I Johnson, PT
	325 S 1st Ave, Broken Bow, NE 68822-2213
	(308) 872-5111
	(308) 872-5115

Map and Direction

Healthcare Provider's Profile

Full Name	Traci I Johnson
Gender	Female
Speciality	Physical Therapist
Location	325 S 1st Ave, Broken Bow, Nebraska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598440943
Provider Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 9739549577
Enrollment ID: I20230712002105

Medical Identifiers

Medical identifiers for Traci I Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598440943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	4501 (Nebraska)	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. Traci I Johnson allows following entities to bill medicare on her behalf.

Provider Name	Team Physical Therapy Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1578595625 PECOS PAC ID: 5991759540 Enrollment ID: O20050308000374

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. Traci I 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
Traci I Johnson, PT Po Box 435, Broken Bow, NE 68822-0435 Ph: (308) 872-5111	Traci I Johnson, PT 325 S 1st Ave, Broken Bow, NE 68822-2213 Ph: (308) 872-5111

Reviews and Comments

Physical Therapist in Broken Bow, NE

Ginalee F Sinner, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Deniece P Petersen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Andrew Michael Bowin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Mcmeen Physical Therapy, Pc, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Errin M. Nelson, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2021 S E St Ste 1, Broken Bow, NE 68822 Phone: 308-872-5800 Fax: 308-872-5803
Reynold C Mcmeen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Team Physical Therapy, P.c. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 325 S 1st Ave, Broken Bow, NE 68822 Phone: 308-872-5111 Fax: 308-872-5115
Becky Jean Pearson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2021 South E St., Suite 1, Broken Bow, NE 68822 Phone: 308-872-5800 Fax: 308-872-5803

Traci I Johnson, PT - Medicare Physical Therapist in Broken Bow, NE