Ivy Johnson, LICSW in Saint Paul, MN - Medicare Social Worker Provider

Ivy Johnson, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Paul, Minnesota. Her current practice location is 408 Saint Peter St Ste 429, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 224-0614.

Ivy Johnson is licensed to practice in Minnesota (license number 28148) 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 1376295436.

Contact Information

	Ivy Johnson, LICSW
	408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119
	(651) 224-0614
	(651) 224-5754

Map and Direction

Healthcare Provider's Profile

Full Name	Ivy Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	408 Saint Peter St Ste 429, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376295436
Provider Enumeration Date: 01/20/2022
Last Update Date: 01/20/2022

Medicare PECOS Information:

PECOS PAC ID: 1052786571
Enrollment ID: I20230413002055

Medical Identifiers

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

Identifier	Type	State	Issuer
1376295436	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	28148 (Minnesota)	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. Ivy Johnson allows following entities to bill medicare on her behalf.

Entity Name	Hamm Memorial Psychiatric Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609876051 PECOS PAC ID: 8426000340 Enrollment ID: O20050218000177

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. Ivy 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
Ivy Johnson, LICSW 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 Ph: (651) 224-0614	Ivy Johnson, LICSW 408 Saint Peter St Ste 429, Saint Paul, MN 55102-1119 Ph: (651) 224-0614

Reviews and Comments

Social Worker in Saint Paul, MN

Mr. Michael Joseph O'neill, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7900 Fax: 651-266-7850
Ms. Sharon Kay Geiger, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W, Saint Paul, MN 55104 Phone: 651-266-7978
Mrs. Karen Anne Stevensen, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 612-720-5083
Kathleen Lombardi, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1919 University Ave W Ste 200, Saint Paul, MN 55104 Phone: 651-266-7900
Ms. Sherie Lou Bosak, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 821 Raymond Ave, #300, Saint Paul, MN 55114 Phone: 651-645-0438 Fax: 651-647-0659
Helen Jane Gammon, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 640 Jackson St, Saint Paul, MN 55101 Phone: 651-254-2766
Ken Wilfred Schmitz, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2469 University Ave W, Saint Paul, MN 55114 Phone: 651-659-0294

Ivy Johnson, LICSW - Medicare Clinical Social Worker in Saint Paul, MN