Dr Clyde Joseph Johnson, PHD - Medicare Psychologist in Sevierville, TN

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Dr Clyde Joseph Johnson, PHD is a medicare enrolled "Psychologist - Health Service" provider in Sevierville, Tennessee. His current practice location is 1124 Blanton Dr # 100, Sevierville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 286-6950.

Dr Clyde Joseph Johnson is licensed to practice in Tennessee (license number 3637) 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 1588242416.

Contact Information

Dr Clyde Joseph Johnson, PHD
1124 Blanton Dr # 100,
Sevierville, TN 37862-5049
(865) 286-6950
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Clyde Joseph Johnson
GenderMale
SpecialityPsychologist - Health Service
Location1124 Blanton Dr # 100, Sevierville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588242416
  • Provider Enumeration Date: 03/31/2021
  • Last Update Date: 03/31/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204369994
  • Enrollment ID: I20241104000142

Medical Identifiers

Medical identifiers for Dr Clyde Joseph Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588242416NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TH0100XPsychologist - Health Service 3637 (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 Clyde Joseph Johnson allows following entities to bill medicare on his behalf.
Entity NameMental Health Resources, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922034503
PECOS PAC ID: 4587795018
Enrollment ID: O20210629000712
Entity NameOptum Behavioral Care Of North Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083480081
PECOS PAC ID: 5092120030
Enrollment ID: O20240813003368

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 Clyde Joseph 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 AddressPractice Location Address
Dr Clyde Joseph Johnson, PHD
878 Festival Ln,
Knoxville, TN 37923-2167

Ph: (865) 406-1600		Dr Clyde Joseph Johnson, PHD
1124 Blanton Dr # 100,
Sevierville, TN 37862-5049

Ph: (865) 286-6950

Reviews and Comments


Psychologist in Sevierville, TN

Christina M Alston, PH.D. SR. P.E.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 419 High St, Sevierville, TN 37862
Phone: 865-774-2444    
Dr. Shana Valere Hamilton, PH.D.
Psychologist
Medicare: Medicare Enrolled
Practice Location: 204 Birchwood Lane, Sevierville, TN 37862
Phone: 865-556-3474    Fax: 865-525-7494

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.