Theresa Beth Johnson, LAC is a
Acupuncturist based in Roscoe, Illinois. Theresa Beth Johnson is licensed to practice in Illinois (license number 198.000989) and her current practice location is
9241 Starboard Dr Ste C, Roscoe, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 227-9429.
NPI number for Theresa Beth Johnson is 1083438287 and her current mailing address is 8896 Burr Oak Rd, Roscoe, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083438287.
Healthcare Provider's Profile
| Full Name | Theresa Beth Johnson |
|---|
| Gender | Female |
|---|
| Speciality | Acupuncturist |
|---|
| Location | 9241 Starboard Dr Ste C, Roscoe, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083438287
- Provider Enumeration Date: 11/13/2024
- Last Update Date: 11/13/2024
Medical Identifiers
Medical identifiers for Theresa Beth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083438287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 171100000X | Acupuncturist | 198.000989 (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. Theresa Beth Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Theresa Beth Johnson, LAC 8896 Burr Oak Rd, Roscoe, IL 61073-7870 Ph: (828) 301-8765 | Theresa Beth Johnson, LAC 9241 Starboard Dr Ste C, Roscoe, IL 61073-6348 Ph: (815) 227-9429 |
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