Dr Shawn Johnson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Waukesha, Wisconsin. Her current practice location is
514 Riverview Ave, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 548-7666.
Dr Shawn Johnson is licensed to practice in Wisconsin (license number 2963-57) 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 1609166131.
Healthcare Provider's Profile
| Full Name | Dr Shawn Johnson |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 514 Riverview Ave, Waukesha, 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: 1609166131
- Provider Enumeration Date: 04/18/2011
- Last Update Date: 12/10/2013
Medicare PECOS Information:
- PECOS PAC ID: 2769628536
- Enrollment ID: I20130424000125
Medical Identifiers
Medical identifiers for Dr Shawn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609166131 | NPI | - | NPPES |
| 1609166131 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2963-57 (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. Dr Shawn Johnson allows following entities to bill medicare on her behalf.
| Entity Name | County Of Waukesha Department Of Finance |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740403146
PECOS PAC ID: 3971405481
Enrollment ID: O20040124000130 |
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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. Dr Shawn 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 |
|---|
Dr Shawn Johnson, PSYD
514 Riverview Ave,
Waukesha, WI 53188-3631
Ph: (262) 548-7666 | Dr Shawn Johnson, PSYD
514 Riverview Ave,
Waukesha, WI 53188-3631
Ph: (262) 548-7666 |
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