Carolyn M Martin-johnson, LPC is a medicare enrolled "Social Worker" provider in Green Bay, Wisconsin. 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 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 1396894259.
Healthcare Provider's Profile
| Full Name | Carolyn M Martin-johnson |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1499 Sixth St, Green Bay, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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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 |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 14160 (Wisconsin) | Secondary |
| 104100000X | Social Worker | 4155-125 (Wisconsin) | 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. 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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