Johanah Y Kang, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Tacoma, Washington. Her current practice location is
2013 South 19th Street, Tacoma, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 383-3355.
Johanah Y Kang is licensed to practice in Washington (license number PY60805166) 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 1588163208.
Healthcare Provider's Profile
Full Name | Johanah Y Kang |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 2013 South 19th Street, Tacoma, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588163208
- Provider Enumeration Date: 02/08/2018
- Last Update Date: 02/08/2018
Medicare PECOS Information:
- PECOS PAC ID: 2365704186
- Enrollment ID: I20180314002204
Medical Identifiers
Medical identifiers for Johanah Y Kang such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588163208 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PY60805166 (Washington) | Secondary |
103G00000X | Clinical Neuropsychologist | PY60805166 (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. Johanah Y Kang allows following entities to bill medicare on her behalf.
Entity Name | Advanced Behavioral Medicine And Neuropsychology Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558372268 PECOS PAC ID: 7911210240 Enrollment ID: O20150716000100 |
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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. Johanah Y Kang 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 |
Johanah Y Kang, PHD 2013 South 19th Street, Tacoma, WA 98405 Ph: (253) 383-3355 | Johanah Y Kang, PHD 2013 South 19th Street, Tacoma, WA 98405 Ph: (253) 383-3355 |
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