Madison Chelsea Johnson, is a medicare enrolled "Social Worker" provider in San Leandro, California. Her current practice location is
2275 Arlington Dr, San Leandro, California. You can reach out to her office (for appointments etc.) via phone at
(510) 317-1444.
Madison Chelsea Johnson is licensed to practice in California (license number 109455) 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 1356867204.
Healthcare Provider's Profile
| Full Name | Madison Chelsea Johnson |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 2275 Arlington Dr, San Leandro, California |
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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: 1356867204
- Provider Enumeration Date: 08/22/2017
- Last Update Date: 05/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 1759812399
- Enrollment ID: I20241007001671
Medical Identifiers
Medical identifiers for Madison Chelsea Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356867204 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 109455 (California) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 109455 (California) | 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. Madison Chelsea Johnson allows following entities to bill medicare on her behalf.
| Entity Name | City & County Of San Francisco |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982737524
PECOS PAC ID: 1658280748
Enrollment ID: O20050309000770 |
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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. Madison Chelsea 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 |
|---|
Madison Chelsea Johnson,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 | Madison Chelsea Johnson,
2275 Arlington Dr,
San Leandro, CA 94578-1132
Ph: (510) 317-1444 |
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