Mr Johnny R Marcum, CDCA/CPRS/QMHS3 is a
Case Manager/care Coordinator based in Columbus, Ohio. Mr Johnny R Marcum is licensed to practice in Ohio (license number 004481) and his current practice location is
3501 E Livingston Ave Ste A, Columbus, Ohio. He can be reached at his office (for appointments etc.) via phone at
(937) 496-5250.
NPI number for Mr Johnny R Marcum is 1023558681 and his current mailing address is 1045 Walton Ave, Dayton, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023558681.
Healthcare Provider's Profile
| Full Name | Mr Johnny R Marcum |
|---|
| Gender | Male |
|---|
| Speciality | Case Manager/care Coordinator |
|---|
| Location | 3501 E Livingston Ave Ste A, Columbus, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023558681
- Provider Enumeration Date: 03/02/2017
- Last Update Date: 04/07/2025
Medical Identifiers
Medical identifiers for Mr Johnny R Marcum such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023558681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 185253 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 185253 (Ohio) | Secondary |
| 171M00000X | Case Manager/care Coordinator | 004481 (Ohio) | Primary |
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 Johnny R Marcum is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Johnny R Marcum, CDCA/CPRS/QMHS3
1045 Walton Ave,
Dayton, OH 45402-5336
Ph: (937) 496-5250 | Mr Johnny R Marcum, CDCA/CPRS/QMHS3
3501 E Livingston Ave Ste A,
Columbus, OH 43227-2220
Ph: (937) 496-5250 |
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