Nisa Johnson, in Normal, IL - Medicare Social Worker Provider

Nisa Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Normal, Illinois. Her current practice location is 1100 Beech St Bldg 10-1, Normal, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 750-0415.

Nisa Johnson is licensed to practice in Illinois (license number 149017179) 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 1255716205.

Contact Information

	Nisa Johnson,
	1100 Beech St Bldg 10-1, Normal, IL 61761-1568
	(309) 750-0415
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Nisa Johnson
Gender	Female
Speciality	Social Worker - Clinical
Location	1100 Beech St Bldg 10-1, Normal, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255716205
Provider Enumeration Date: 07/20/2015
Last Update Date: 10/24/2022

Medicare PECOS Information:

PECOS PAC ID: 9537475298
Enrollment ID: I20150826002294

Medical Identifiers

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

Identifier	Type	State	Issuer
1255716205	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149017179 (Illinois)	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. Nisa Johnson allows following entities to bill medicare on her behalf.

Entity Name	Nisa Johnson Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295469559 PECOS PAC ID: 5890163083 Enrollment ID: O20221118001778

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. Nisa 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
Nisa Johnson, 1100 Beech St Bldg 10-1, Normal, IL 61761-1568 Ph: (309) 750-0415	Nisa Johnson, 1100 Beech St Bldg 10-1, Normal, IL 61761-1568 Ph: (309) 750-0415

Reviews and Comments

Social Worker in Normal, IL

Laurie Krolikowski, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1306 Stephens Dr, Normal, IL 61761 Phone: 309-532-4572
Mary Ann Pullin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 612 Oglesby Ave, Normal, IL 61761 Phone: 309-557-1124 Fax: 309-454-9257
Ms. Naomi Wilansky, MSS LCSW BCD Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1100 Beech St, Bldg 10, Normal, IL 61761 Phone: 309-825-8818 Fax: 309-452-1265
Cheri Carroll, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 405 Kays Dr Ste C, Normal, IL 61761 Phone: 309-664-3130 Fax: 309-664-3528
Laura Jennings-mitchell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 705 E Lincoln St, Ste 303, Normal, IL 61761 Phone: 309-451-9495
Teresa Eubanks, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1304 Franklin Ave, Normal, IL 61761 Phone: 309-268-5334
Sarah E Walters, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2958 Benson Ln, Normal, IL 61761 Phone: 815-243-0177

Nisa Johnson, - Medicare Clinical Social Worker in Normal, IL