Dr Glen Lee Johnson, PHD in Traverse City, MI - Medicare Clinical Psychologist Provider

Dr Glen Lee Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Traverse City, Michigan. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. His current practice location is 5123 N Royal Dr, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 929-7358.

Dr Glen Lee Johnson is licensed to practice in Michigan (license number 6301006001) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992758353.

Contact Information

	Dr Glen Lee Johnson, PHD
	5123 N Royal Dr, Traverse City, MI 49684-9201
	(231) 929-7358
	(231) 935-0941

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Glen Lee Johnson
Gender	Male
Speciality	Clinical Psychologist
Experience	42 Years
Location	5123 N Royal Dr, Traverse City, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Glen Lee Johnson graduated from medical school in 1982

NPI Data:

NPI Number: 1992758353
Provider Enumeration Date: 05/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3274875869
Enrollment ID: I20190501000931

Medical Identifiers

Medical identifiers for Dr Glen Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992758353	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301006001 (Michigan)	Primary
103TC0700X	Psychologist - Clinical	PY7155 (Florida)	Secondary

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 Glen Lee Johnson allows following entities to bill medicare on his behalf.

Entity Name	Grand Traverse Assessment And Therapy, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912480518 PECOS PAC ID: 9638411226 Enrollment ID: O20190501000865

Entity Name	New Approaches Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205140142 PECOS PAC ID: 3072929124 Enrollment ID: O20210315002681

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 Glen Lee 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 Glen Lee Johnson, PHD 5123 N Royal Dr, Traverse City, MI 49684-9201 Ph: (231) 929-7358	Dr Glen Lee Johnson, PHD 5123 N Royal Dr, Traverse City, MI 49684-9201 Ph: (231) 929-7358

Reviews and Comments

Psychologist in Traverse City, MI

Arthur M Newhouse, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall St, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Jill L Platte, MS, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Hall Street, Suite A, Traverse City, MI 49684 Phone: 231-922-4850 Fax: 231-935-3856
Dr. Terence Lee Bradley, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3926 Village Circle Dr, Traverse City, MI 49686 Phone: 231-938-5900
Quentin Paul Kuntz, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2226 S. Airport Rd. West, Suite A, Traverse City, MI 49684 Phone: 231-947-2442 Fax: 231-947-2446
Kathleen Wong Seitz, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 West 11th St, Ste 1e, Traverse City, MI 49684 Phone: 231-946-6599
Kristen Ryder, SSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12935 S West Bay Shore Dr Ste 320, Traverse City, MI 49684 Phone: 231-268-0208
Dr. Elizabeth Garber Bruning, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 10850 E Traverse Hwy, Suite 4000, Traverse City, MI 49684 Phone: 231-935-0790 Fax: 231-935-0791

Dr Glen Lee Johnson, PHD - Medicare Psychologist in Traverse City, MI