Dr Kristine Alisa Johnson, PHD in Port Angeles, WA

Dr Kristine Alisa Johnson, PHD is a medicare enrolled "Psychologist" provider in Port Angeles, Washington. Her current practice location is 933 E 1st St, Port Angeles, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 452-7891.

Dr Kristine Alisa Johnson is licensed to practice in Washington (license number PY60431107) 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 1851726616.

Contact Information

	Dr Kristine Alisa Johnson, PHD
	933 E 1st St, Port Angeles, WA 98362-4012
	(360) 452-7891
	(360) 452-8087

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kristine Alisa Johnson
Gender	Female
Speciality	Psychologist
Location	933 E 1st St, Port Angeles, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851726616
Provider Enumeration Date: 09/11/2013
Last Update Date: 02/17/2023

Medicare PECOS Information:

PECOS PAC ID: 0749583474
Enrollment ID: I20180116002732

Medical Identifiers

Medical identifiers for Dr Kristine Alisa Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851726616	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY60431107 (Washington)	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 Kristine Alisa Johnson allows following entities to bill medicare on her behalf.

Entity Name	North Olympic Healthcare Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154702264 PECOS PAC ID: 3779895396 Enrollment ID: O20150827003168

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 Kristine Alisa 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 Kristine Alisa Johnson, PHD 240 W Front St Ste A, Port Angeles, WA 98362-2609 Ph: (360) 452-7891	Dr Kristine Alisa Johnson, PHD 933 E 1st St, Port Angeles, WA 98362-4012 Ph: (360) 452-7891

Reviews and Comments

Psychologist in Port Angeles, WA

Ms. Maxine Ceraolo, ARNP Psychologist Medicare: Medicare Enrolled Practice Location: 933 E 1st St, Port Angeles, WA 98362 Phone: 360-452-7891 Fax: 360-452-8087
Dr. Mary Frances Wegmann, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 618 S Peabody St, Suite F, Port Angeles, WA 98362 Phone: 360-457-1610 Fax: 360-457-5680
Dr. Jonathan D Stevens, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 430 E Lauridsen Blvd, Port Angeles, WA 98362 Phone: 360-457-1610 Fax: 253-477-2287
Dr. Marian Birch, D.M.H. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 113 S Eunice St, Port Angeles, WA 98362 Phone: 360-417-3065 Fax: 360-417-3065
Dr. Paul Crayton Daley, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 809 S Chase St, Port Angeles, WA 98362 Phone: 360-452-4345

Dr Kristine Alisa Johnson, PHD - Medicare Psychologist in Port Angeles, WA