Madora Mckinney Johnson, SLP in Vicksburg, MS - Medicare Speech-Language Pathologist Provider

Madora Mckinney Johnson, SLP is a medicare enrolled "Speech-language Pathologist" provider in Vicksburg, Mississippi. Her current practice location is 1901 Mission 66, Suite A, Vicksburg, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 638-4076.

Madora Mckinney Johnson is licensed to practice in Mississippi (license number S3182) 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 1619151735.

Contact Information

	Madora Mckinney Johnson, SLP
	1901 Mission 66, Suite A, Vicksburg, MS 39180-3711
	(601) 638-4076
	(601) 883-2232

Map and Direction

Healthcare Provider's Profile

Full Name	Madora Mckinney Johnson
Gender	Female
Speciality	Speech-language Pathologist
Location	1901 Mission 66, Vicksburg, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1619151735
Provider Enumeration Date: 12/26/2007
Last Update Date: 04/17/2018

Medicare PECOS Information:

PECOS PAC ID: 0345504346
Enrollment ID: I20180427000294

Medical Identifiers

Medical identifiers for Madora Mckinney Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1619151735	NPI	-	NPPES
000050976	Other	MS	BCBS OF MISSISSIPPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	S3182 (Mississippi)	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. Madora Mckinney Johnson allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Agency Ms Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981

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. Madora Mckinney 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
Madora Mckinney Johnson, SLP 6100 Old Brandon Rd, Brandon, MS 39042-2543 Ph: (601) 638-4076	Madora Mckinney Johnson, SLP 1901 Mission 66, Suite A, Vicksburg, MS 39180-3711 Ph: (601) 638-4076

Reviews and Comments

Speech-Language Pathologist in Vicksburg, MS

Karen Bourne, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-638-4986
Miss Hope Evans, MS SLP/CCC Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1905 Grove St, Vicksburg, MS 39183 Phone: 901-246-8233
Kara Brister, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986
Alyssa Smith Scott, M.S. CC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 916 Belmont St Ste 1, Vicksburg, MS 39180 Phone: 601-852-3271
Ms. Deborah Davis Kilgo, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3302 Woodlands Pl, Vicksburg, MS 39180 Phone: 601-638-2771
Mrs. Tracy Curtis, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2100 Us 61, Vicksburg, MS 39183 Phone: 601-883-5000
Carla I Forte, Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 2850 Porters Chapel Rd, Vicksburg, MS 39180 Phone: 601-638-9211 Fax: 601-636-4986

Madora Mckinney Johnson, SLP - Medicare Speech-Language Pathologist in Vicksburg, MS