Katie Johnson, LCSW in Carbondale, IL - Medicare Clinical Social Worker Provider

Katie Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Carbondale, Illinois. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southern Illinois Medical Services Nfp and her current practice location is 2601 W Main St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-5361.

Katie Johnson is licensed to practice in Illinois (license number 149.018073) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1306322110.

Contact Information

	Katie Johnson, LCSW
	2601 W Main St, Carbondale, IL 62901-1031
	(618) 549-5361
	(618) 351-4878

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Johnson
Gender	Female
Speciality	Clinical Social Worker
Experience	16 Years
Location	2601 W Main St, Carbondale, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Katie Johnson graduated from medical school in 2008

NPI Data:

NPI Number: 1306322110
Provider Enumeration Date: 07/15/2018
Last Update Date: 09/24/2021

Medicare PECOS Information:

PECOS PAC ID: 1254685126
Enrollment ID: I20181112001699

Medical Identifiers

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

Identifier	Type	State	Issuer
1306322110	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149.018073 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Illinois Medical Services Nfp	3678677390	254

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. Katie Johnson allows following entities to bill medicare on her behalf.

Entity Name	Southern Illinois Medical Services Nfp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770656837 PECOS PAC ID: 3678677390 Enrollment ID: O20070404000595

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. Katie 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
Katie Johnson, LCSW Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Katie Johnson, LCSW 2601 W Main St, Carbondale, IL 62901-1031 Ph: (618) 549-5361

Reviews and Comments

Social Worker in Carbondale, IL

Mary L Nash-pyott, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2311 S Illinois Ave, Carbondale, IL 62903 Phone: 618-457-6703 Fax: 618-549-3734
Rachel M Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 W Jackson St Ste 200, Carbondale, IL 62901 Phone: 618-536-6621 Fax: 618-453-1102
Jodie Kennedy, L.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3412 S Illinois Ave, Carbondale, IL 62903 Phone: 618-327-1304 Fax: 618-457-8844
Carrie Lynn Vine, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29 View Valley Dr, Carbondale, IL 62903 Phone: 915-217-8288
Shelby Jo Seegers-schafer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 804 W Main St, Carbondale, IL 62901 Phone: 618-351-1279 Fax: 618-351-6369
Sonya Clark, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Jennifer L Deloach, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8609 Giant City Rd, Suite F, Carbondale, IL 62902 Phone: 618-351-8226

Katie Johnson, LCSW - Medicare Clinical Social Worker in Carbondale, IL