Shelley Johnson, in Waukegan, IL - Medicare Counselor Provider

Shelley Johnson, is a medicare enrolled "Counselor - Mental Health" provider in Waukegan, Illinois. Her current practice location is 3010 Grand Ave, Waukegan, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 236-8836.

Shelley Johnson is licensed to practice in * (Not Available) (license number ) 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 1942680251.

Contact Information

	Shelley Johnson,
	3010 Grand Ave, Waukegan, IL 60085-2321
	(815) 236-8836
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Shelley Johnson
Gender	Female
Speciality	Counselor - Mental Health
Location	3010 Grand Ave, Waukegan, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942680251
Provider Enumeration Date: 06/02/2015
Last Update Date: 06/02/2015

Medicare PECOS Information:

PECOS PAC ID: 7012430036
Enrollment ID: I20250401000657

Medical Identifiers

Medical identifiers for Shelley Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942680251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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. Shelley Johnson allows following entities to bill medicare on her behalf.

Entity Name	Fukari Psych Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851138325 PECOS PAC ID: 7315460334 Enrollment ID: O20250401000435

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. Shelley 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
Shelley Johnson, 3204 Biscayne Rd, Mchenry, IL 60050-8321 Ph: (815) 236-8836	Shelley Johnson, 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (815) 236-8836

Reviews and Comments

Counselor in Waukegan, IL

Linda Metts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-7847 Fax: 847-984-5635
Mrs. Patrice Louise Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8120 Fax: 847-984-5689
Mr. Raymond Bernard Mcqueen, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689
Sindy Lorena Guerra, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8321 Fax: 847-793-5689
Richard Andrew Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3002 Grand Ave, Waukegan, IL 60085 Phone: 847-377-3257
Janaina Maria Silva, NCE, CRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Washington St, Waukegan, IL 60085 Phone: 847-441-5600 Fax: 847-441-7968
Vernessa Stepney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 Grand Ave, Waukegan, IL 60085 Phone: 847-377-8296 Fax: 847-984-5689

Shelley Johnson, - Medicare Counselor in Waukegan, IL