Randi Johnson, is a medicare enrolled "Speech-language Pathologist" provider in Dahinda, Illinois. Her current practice location is
362 Charter Oak Pl, Dahinda, Illinois. You can reach out to her office (for appointments etc.) via phone at
(309) 368-2077.
Randi Johnson is licensed to practice in Illinois (license number 146-012596) 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 1427505429.
Healthcare Provider's Profile
Full Name | Randi Johnson |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 362 Charter Oak Pl, Dahinda, Illinois |
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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: 1427505429
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 05/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 0446614457
- Enrollment ID: I20230908003344
Medical Identifiers
Medical identifiers for Randi Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427505429 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 146-012596 (Illinois) | Primary |
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. Randi 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 |
Randi Johnson, 362 Charter Oak Pl, Dahinda, IL 61428-9784 Ph: (309) 368-2077 | Randi Johnson, 362 Charter Oak Pl, Dahinda, IL 61428-9784 Ph: (309) 368-2077 |
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