Staci R Johnson, MD in Chino, CA - Medicare Psychiatry & Neurology

Staci R Johnson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Chino, California. Her current practice location is 4550 Eucalyptus Ave, Chino, California. You can reach out to her office (for appointments etc.) via phone at (310) 629-8989.

Staci R Johnson is licensed to practice in California (license number A85895) 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 1790977502.

Contact Information

	Staci R Johnson, MD
	4550 Eucalyptus Ave, Chino, CA 91710-9215
	(310) 629-8989
	Not Available

Map and Direction

Physician's Profile

Full Name	Staci R Johnson
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4550 Eucalyptus Ave, Chino, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790977502
Provider Enumeration Date: 08/15/2007
Last Update Date: 07/31/2012

Medicare PECOS Information:

PECOS PAC ID: 7416027842
Enrollment ID: I20080528000412

Medical Identifiers

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

Identifier	Type	State	Issuer
1790977502	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A85895 (California)	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. Staci R Johnson allows following entities to bill medicare on her behalf.

Entity Name	County Of Imperial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225258841 PECOS PAC ID: 9739166927 Enrollment ID: O20040706000950

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. Staci R 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
Staci R Johnson, MD 4550 Eucalyptus Ave, Chino, CA 91710-9215 Ph: (310) 629-8989	Staci R Johnson, MD 4550 Eucalyptus Ave, Chino, CA 91710-9215 Ph: (310) 629-8989

Reviews and Comments

Psychiatry & Neurology Doctors in Chino, CA

Cynthia Ann Coles, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 14901 Central Ave., California Institute For Men, Chino, CA 91710 Phone: 909-597-1821 Fax: 909-802-1051
Dr. Rachel Jesunathadas, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 14901 Central Ave, Chino, CA 91710 Phone: 909-597-1821
Mr. Hassan M Mahfoozi, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 12598 Central Ave #110, Chino, CA 91710 Phone: 909-517-2020 Fax: 909-517-2022
Dr. Vasilica Valcu, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 13193 Central Ave, Suite 200, Chino, CA 91710 Phone: 909-902-9111 Fax: 909-902-9199
Michele Chu, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 3750 Grand Ave, Chino, CA 91710 Phone: 888-750-0036
Nandita Puchakayala, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 12555 Central Ave Ste C, Chino, CA 91710 Phone: 909-902-1082
Dr. Syeda A Baig, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 13141 Central Ave, Suite, H, Chino, CA 91710 Phone: 909-569-5047 Fax: 909-992-3067

Staci R Johnson, MD - Medicare Psychiatry & Neurology in Chino, CA