Dr Kalyn M Gebhardt Johnson, PHD - Medicare Psychologist in Waupun, WI

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Dr Kalyn M Gebhardt Johnson, PHD is a medicare enrolled "Psychologist" provider in Waupun, Wisconsin. Her current practice location is 620 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-7600.

Dr Kalyn M Gebhardt Johnson is licensed to practice in Wisconsin (license number 5109-57) 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 1386250462.

Contact Information

Dr Kalyn M Gebhardt Johnson, PHD
620 W Brown St,
Waupun, WI 53963-1702
(920) 324-7600
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Kalyn M Gebhardt Johnson
GenderFemale
SpecialityPsychologist
Location620 W Brown St, Waupun, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1386250462
  • Provider Enumeration Date: 09/23/2020
  • Last Update Date: 10/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9234586868
  • Enrollment ID: I20231103001304

Medical Identifiers

Medical identifiers for Dr Kalyn M Gebhardt Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1386250462NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 5109-57 (Wisconsin)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 Kalyn M Gebhardt Johnson allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263

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 Kalyn M Gebhardt 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 Kalyn M Gebhardt Johnson, PHD
620 W Brown St,
Waupun, WI 53963-1702

Ph: (920) 210-7256		Dr Kalyn M Gebhardt Johnson, PHD
620 W Brown St,
Waupun, WI 53963-1702

Ph: (920) 324-7600

Reviews and Comments


Psychologist in Waupun, WI

Dr. Torria Van Buren, PSY.D
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 200 S Madison St, Waupun, WI 53963
Phone: 920-324-5571    
Robert Norman Deyoung, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1208 S Watertown St, Waupun, WI 53963
Phone: 920-324-4358    Fax: 920-324-4737

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.