Dr Sandra K Johnson, PHD in Detroit, MI - Medicare Clinical Psychologist Provider

Dr Sandra K Johnson, PHD is a medicare enrolled "Psychologist" provider in Detroit, Michigan. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Evolutis Llc and her current practice location is 1001 Woodward Ave Fl 5, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 739-7836.

Dr Sandra K Johnson is licensed to practice in Michigan (license number 6301006837) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265656516.

Contact Information

	Dr Sandra K Johnson, PHD
	1001 Woodward Ave Fl 5, Detroit, MI 48226
	(313) 739-7836
	(313) 557-1662

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Sandra K Johnson
Gender	Female
Speciality	Clinical Psychologist
Experience	36 Years
Location	1001 Woodward Ave Fl 5, Detroit, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Sandra K Johnson graduated from medical school in 1988

NPI Data:

NPI Number: 1265656516
Provider Enumeration Date: 04/11/2007
Last Update Date: 09/17/2019

Medicare PECOS Information:

PECOS PAC ID: 6406746627
Enrollment ID: I20040319000184

Medical Identifiers

Medical identifiers for Dr Sandra K Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265656516	NPI	-	NPPES
6301006837	Other	MI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301006837 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Evolutis Llc	5597193607	7

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 Sandra K Johnson allows following entities to bill medicare on her behalf.

Entity Name	Detroit Health And Wellness Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306497318 PECOS PAC ID: 5991132623 Enrollment ID: O20200219000691

Entity Name	Evolutis Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821657941 PECOS PAC ID: 5597193607 Enrollment ID: O20210520000704

Entity Name	Total Life Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053909267 PECOS PAC ID: 8123433034 Enrollment ID: O20220801000886

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 Sandra K 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 Sandra K Johnson, PHD 8200 E Jefferson Ave Apt 1604, Detroit, MI 48214-3978 Ph: (248) 766-3209	Dr Sandra K Johnson, PHD 1001 Woodward Ave Fl 5, Detroit, MI 48226 Ph: (313) 739-7836

Reviews and Comments

Psychologist in Detroit, MI

Marla Green Bartoi, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Jefferson Research Center, 2761 E Jefferson, Detroit, MI 48207 Phone: 888-362-7792
Mrs. Colleen Beth Verbeke, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4777 E Outer Dr, Detroit, MI 48234 Phone: 313-369-5000 Fax: 313-369-5545
Mariane Loeckner, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 Ford Pl, Ste 1 C, Detroit, MI 48202 Phone: 313-876-7605
Melissa Moody, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 707 W Milwaukee St, Detroit, MI 48202 Phone: 313-410-4992
Dr. Brittney Devine Walsh, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-255-0900 Fax: 313-255-3465
Xiyu Cao, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4160 Woodward Ave Fl 2, Detroit, MI 48201 Phone: 313-656-4052
Marquita Bedway, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Upc Children's Hospital, 3901 Beaubien 4th Floor Carls Bldg, Detroit, MI 48201 Phone: 313-745-4878

Dr Sandra K Johnson, PHD - Medicare Psychologist in Detroit, MI