Susan Johannsen, PSYD in Mill Creek, WA - Medicare Clinical Psychologist Provider

Susan Johannsen, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Mill Creek, Washington. She graduated from medical school in 2020 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Optum Care Washington Pllc and her current practice location is 15418 Maint Street, Suite 303a, Mill Creek, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 339-5453.

Susan Johannsen is licensed to practice in Washington (license number PY61085331) 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 1063026417.

Contact Information

	Susan Johannsen, PSYD
	15418 Maint Street, Suite 303a, Mill Creek, WA 98012
	(425) 339-5453
	(425) 252-4441

Map and Direction

Healthcare Provider's Profile

Full Name	Susan Johannsen
Gender	Female
Speciality	Clinical Psychologist
Experience	5 Years
Location	15418 Maint Street, Mill Creek, Washington
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:

Susan Johannsen graduated from medical school in 2020

NPI Data:

NPI Number: 1063026417
Provider Enumeration Date: 09/02/2020
Last Update Date: 02/16/2023

Medicare PECOS Information:

PECOS PAC ID: 2163839879
Enrollment ID: I20210504001577

Medical Identifiers

Medical identifiers for Susan Johannsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063026417	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY61085331 (Washington)	Secondary
103TC0700X	Psychologist - Clinical	PY61085331 (Washington)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Optum Care Washington Pllc	6406752153	559

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. Susan Johannsen allows following entities to bill medicare on her behalf.

Entity Name	Optum Care Washington Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831186766 PECOS PAC ID: 6406752153 Enrollment ID: O20031211000922

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. Susan Johannsen 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
Susan Johannsen, PSYD Po Box 5127, Everett, WA 98206-5127 Ph: (425) 339-5453	Susan Johannsen, PSYD 15418 Maint Street, Suite 303a, Mill Creek, WA 98012 Ph: (425) 339-5453

Reviews and Comments

Psychologist in Mill Creek, WA

Dr. John Francis Mcguigan, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3916 148th St Se, Mill Creek, WA 98012 Phone: 425-339-5453 Fax: 425-304-1102
Dr. Sue Anne Slade, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15418 Main Street, Suite 301, Mill Creek, WA 98012 Phone: 425-385-3262 Fax: 425-357-0924
Dr. Leihua Edstrom, PHD, ABSNP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 15129 Main St Ste 201, Mill Creek, WA 98012 Phone: 206-372-6038
Dr. Roger L Clement, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2012 148th St Se, Mill Creek, WA 98012 Phone: 425-742-2400
Dr. Enid Carla Griffin, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16000 Bothell Everett Hwy, Suite 230, Mill Creek, WA 98012 Phone: 425-357-8023 Fax: 425-337-2608
Dr. Caroline Lea Rinke, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 15418 Main Street, Suite 301, Mill Creek, WA 98012 Phone: 425-385-3262 Fax: 425-357-0924

Susan Johannsen, PSYD - Medicare Psychologist in Mill Creek, WA