Dr Stacy Kim Johnston, PHD in La Mesa, CA - Medicare Clinical Psychologist Provider

Dr Stacy Kim Johnston, PHD is a medicare enrolled "Psychologist - Clinical" provider in La Mesa, California. She graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southern California Psychology Centers Apc and her current practice location is 4730 Palm Ave, 202, La Mesa, California. You can reach out to her office (for appointments etc.) via phone at (619) 778-7215.

Dr Stacy Kim Johnston is licensed to practice in California (license number PSY17457) 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 1063569135.

Contact Information

	Dr Stacy Kim Johnston, PHD
	4730 Palm Ave, 202, La Mesa, CA 91941-5266
	(619) 778-7215
	(619) 328-9332

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Stacy Kim Johnston
Gender	Female
Speciality	Clinical Psychologist
Experience	26 Years
Location	4730 Palm Ave, La Mesa, California
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 Stacy Kim Johnston graduated from medical school in 1998

NPI Data:

NPI Number: 1063569135
Provider Enumeration Date: 01/04/2007
Last Update Date: 08/19/2013

Medicare PECOS Information:

PECOS PAC ID: 1153395298
Enrollment ID: I20040824000570

Medical Identifiers

Medical identifiers for Dr Stacy Kim Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063569135	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY17457 (California)	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 Stacy Kim Johnston allows following entities to bill medicare on her behalf.

Entity Name	Southern California Psychology Centers Apc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386066363 PECOS PAC ID: 6406170653 Enrollment ID: O20150119000828

Entity Name	Stacy Kim Johnston Psychology, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316554322 PECOS PAC ID: 8527470004 Enrollment ID: O20201208001351

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 Stacy Kim Johnston 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 Stacy Kim Johnston, PHD 4730 Palm Ave Ste 202, La Mesa, CA 91941-5244 Ph: (619) 778-7215	Dr Stacy Kim Johnston, PHD 4730 Palm Ave, 202, La Mesa, CA 91941-5266 Ph: (619) 778-7215

Reviews and Comments

Psychologist in La Mesa, CA

Robert M Katnik, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4700 Spring St, #220, La Mesa, CA 91942 Phone: 760-730-4540 Fax: 619-667-0815
Dr. Erin Elmore, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8355 La Mesa Blvd, La Mesa, CA 91942 Phone: 858-999-5429
Dr. Briana C Rodriguez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 8881 Fletcher Pkwy Ste 350-360, La Mesa, CA 91942 Phone: 858-279-1223
Dr. Jacqueline Butler, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4700 Spring St, Suite 204, La Mesa, CA 91941 Phone: 619-644-5750 Fax: 619-644-5751
Carol N. Arpaci, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 8029 La Mesa Blvd, La Mesa, CA 91941 Phone: 619-668-0600 Fax: 619-466-2662
Lindsey Stroben Alper, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8318 University Ave, Suite A4, La Mesa, CA 91941 Phone: 619-462-7744 Fax: 619-462-7733
Dr. Leann C. Skimming, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8787 Center Dr, La Mesa, CA 91942 Phone: 800-257-8715

Dr Stacy Kim Johnston, PHD - Medicare Psychologist in La Mesa, CA