Mr Eldon Lawrence Johnson, MED, LPC is a medicare enrolled "Counselor - Professional" provider in Perry, Oklahoma. He graduated from healthcare school in 1989 and has 37 years of diverse experience with area of expertise as Mental Health Counselor. He is a member of the group practice Grand Lake Mental Health Center, Inc. and his current practice location is
502 N 14th St, Perry, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 308-5512.
Mr Eldon Lawrence Johnson is licensed to practice in Oklahoma (license number 2587) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346263019.
Healthcare Provider's Profile
| Full Name | Mr Eldon Lawrence Johnson |
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| Gender | Male |
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| Speciality | Mental Health Counselor |
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| Experience | 37 Years |
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| Location | 502 N 14th St, Perry, Oklahoma |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Eldon Lawrence Johnson graduated from medical school in 1989
NPI Data:
- NPI Number: 1346263019
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 06/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 1658851589
- Enrollment ID: I20260218002305
Medical Identifiers
Medical identifiers for Mr Eldon Lawrence Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1346263019 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YP2500X | Counselor - Professional | 2587 (Oklahoma) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Grand Lake Mental Health Center, Inc. | 4688711534 | 121 |
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. Mr Eldon Lawrence Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Grand Lake Mental Health Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497762520 PECOS PAC ID: 4688711534 Enrollment ID: O20091026000174 |
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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. Mr Eldon Lawrence 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 |
Mr Eldon Lawrence Johnson, MED, LPC 502 N 14th St, Perry, OK 73077-5022 Ph: (918) 308-5512 | Mr Eldon Lawrence Johnson, MED, LPC 502 N 14th St, Perry, OK 73077-5022 Ph: (918) 308-5512 |
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