Carolyn M Martin-johnson, LPC is a medicare enrolled "Social Worker" provider in Green Bay, Wisconsin. She graduated from healthcare school in 1992 and has 34 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Innovative Counseling Inc and her current practice location is
1499 Sixth St, Innovative Counseling, Inc, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 497-6161.
Carolyn M Martin-johnson is licensed to practice in Wisconsin (license number 4155-125) 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 1396894259.
Healthcare Provider's Profile
| Full Name | Carolyn M Martin-johnson |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 34 Years |
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| Location | 1499 Sixth St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Carolyn M Martin-johnson graduated from medical school in 1992
NPI Data:
- NPI Number: 1396894259
- Provider Enumeration Date: 01/09/2007
- Last Update Date: 03/08/2012
Medicare PECOS Information:
- PECOS PAC ID: 1658892567
- Enrollment ID: I20250307002568
Medical Identifiers
Medical identifiers for Carolyn M Martin-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396894259 | NPI | - | NPPES |
| 40965400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14160 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 4155-125 (Wisconsin) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Innovative Counseling Inc | 8022154749 | 16 |
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. Carolyn M Martin-johnson allows following entities to bill medicare on her behalf.
| Entity Name | Innovative Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093869588
PECOS PAC ID: 8022154749
Enrollment ID: O20091012000203 |
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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. Carolyn M Martin-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 |
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Carolyn M Martin-johnson, LPC
1499 Sixth St, Innovative Counseling, Inc,
Green Bay, WI 54304-2252
Ph: (920) 497-6161 | Carolyn M Martin-johnson, LPC
1499 Sixth St, Innovative Counseling, Inc,
Green Bay, WI 54304-2252
Ph: (920) 497-6161 |
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