Jill J Johnson, LCSW is a medicare enrolled "Social Worker" provider in Clackamas, Oregon. Her current practice location is
10180 Se Sunnyside Rd, Mental Health Department, Clackamas, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 652-2880.
Jill J Johnson is licensed to practice in Oregon (license number L2729) 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 1043467954.
Healthcare Provider's Profile
Full Name | Jill J Johnson |
---|
Gender | Female |
---|
Speciality | Social Worker |
---|
Location | 10180 Se Sunnyside Rd, Clackamas, Oregon |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043467954
- Provider Enumeration Date: 08/21/2008
- Last Update Date: 02/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 4587751110
- Enrollment ID: I20080616000147
Medical Identifiers
Medical identifiers for Jill J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043467954 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 2729 (Oregon) | Secondary |
104100000X | Social Worker | L2729 (Oregon) | 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. Jill J Johnson allows following entities to bill medicare on her behalf.
Entity Name | Kaiser Foundation Health Plan Of The Northwest |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
---|
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. Jill J 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 |
Jill J Johnson, LCSW 2985 Sw Christy Ave, Beaverton, OR 97005-1520 Ph: (503) 643-4867 | Jill J Johnson, LCSW 10180 Se Sunnyside Rd, Mental Health Department, Clackamas, OR 97015-8970 Ph: (503) 652-2880 |
Reviews and Comments