Tasha Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Mississippi. Her current practice location is
7 Lakeland Cir, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(769) 279-2474.
Tasha Johnson is licensed to practice in California (license number 127626) 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 1508308008.
Healthcare Provider's Profile
Full Name | Tasha Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 7 Lakeland Cir, Jackson, Mississippi |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508308008
- Provider Enumeration Date: 11/15/2016
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 2163932336
- Enrollment ID: I20250606001842
Medical Identifiers
Medical identifiers for Tasha Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508308008 | NPI | - | NPPES |
01670076 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 127626 (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. Tasha Johnson allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220525002138 |
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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. Tasha 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 |
Tasha Johnson, Po Box 10551, Jackson, MS 39289-0551 Ph: (769) 279-2474 | Tasha Johnson, 7 Lakeland Cir, Jackson, MS 39216-5022 Ph: (769) 279-2474 |
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