Kelly Johnson, in Fargo, ND - Medicare Social Worker Provider

Kelly Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. Her current practice location is 1635 43rd St S Ste 105, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 412-2973.

Kelly Johnson is licensed to practice in North Dakota (license number 6079) 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 1184294670.

Contact Information

	Kelly Johnson,
	1635 43rd St S Ste 105, Fargo, ND 58103-3579
	(701) 412-2973
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	1635 43rd St S Ste 105, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184294670
Provider Enumeration Date: 06/28/2021
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 4880076785
Enrollment ID: I20220808003511

Medical Identifiers

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

Identifier	Type	State	Issuer
1184294670	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6079 (North Dakota)	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. Kelly Johnson allows following entities to bill medicare on her behalf.

Entity Name	Solutions Behavioral Healthcare Professionals Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801909239 PECOS PAC ID: 0345209524 Enrollment ID: O20041004000969

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. Kelly 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
Kelly Johnson, 1547 30th Ave S, Moorhead, MN 56560-5149 Ph: (218) 287-4338	Kelly Johnson, 1635 43rd St S Ste 105, Fargo, ND 58103-3579 Ph: (701) 412-2973

Reviews and Comments

Social Worker in Fargo, ND

Rachel Marsolek, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 721 1st Ave N, Fargo, ND 58102 Phone: 701-461-7364
Brittany Joy Alexander, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy E Mohn, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3106 Fax: 701-234-3106
Rachel Salquist, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2101 Elm St N, Fargo, ND 58102 Phone: 701-232-3241
Tracy M Foldesi-penas, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 4th St S, Fargo, ND 58103 Phone: 701-234-3100 Fax: 701-234-3120
Lindsey Leigh Krueger, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6046 14th St S, Fargo, ND 58104 Phone: 701-404-0997 Fax: 701-566-8876
Deonne J Varriano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400

Kelly Johnson, - Medicare Clinical Social Worker in Fargo, ND