Nicole Johnson, MA, CCC-SLP in Avenel, NJ - Medicare Speech-Language Pathologist Provider

Nicole Johnson, MA, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Avenel, New Jersey. Her current practice location is 1400 Saint Georges Ave Apt 303, Avenel, New Jersey. You can reach out to her office (for appointments etc.) via phone at (917) 868-1390.

Nicole Johnson is licensed to practice in New York (license number 027568-1) 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 1659934420.

Contact Information

	Nicole Johnson, MA, CCC-SLP
	1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188
	(917) 868-1390
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Johnson
Gender	Female
Speciality	Speech-language Pathologist
Location	1400 Saint Georges Ave Apt 303, Avenel, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659934420
Provider Enumeration Date: 04/17/2019
Last Update Date: 04/16/2021

Medicare PECOS Information:

PECOS PAC ID: 7012387632
Enrollment ID: I20221222002275

Medical Identifiers

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

Identifier	Type	State	Issuer
1659934420	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	027568-1 (New York)	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. Nicole Johnson allows following entities to bill medicare on her behalf.

Provider Name	Expressable Speech-language Pathology Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1649875857 PECOS PAC ID: 4688074511 Enrollment ID: O20220308002645

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. Nicole 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
Nicole Johnson, MA, CCC-SLP 1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188 Ph: (917) 868-1390	Nicole Johnson, MA, CCC-SLP 1400 Saint Georges Ave Apt 303, Avenel, NJ 07001-1188 Ph: (917) 868-1390

Reviews and Comments

Speech-Language Pathologist in Avenel, NJ

Kalanie Vega, MS CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave Ste F, Avenel, NJ 07001 Phone: 732-860-9003
Speaking Out Speech And Language Services Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1162 St. George's Avenue Pmb 278, Avenel, NJ 07001 Phone: 732-540-5577
Nevien Montaser, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Station Dr, Avenel, NJ 07001 Phone: 347-397-1495
Lingua Learning Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Station Dr Apt 1235, Avenel, NJ 07001 Phone: 347-397-1495
Michael Robert Cipolla, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Saint Georges Ave Ste F, Avenel, NJ 07001 Phone: 571-356-6742

Nicole Johnson, MA, CCC-SLP - Medicare Speech-Language Pathologist in Avenel, NJ