Mrs Gwen Gloria Johnson, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Pepperell, Massachusetts. She graduated from medical school in 1992 and has 33 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. Her current practice location is
25 Ashley St, Pepperell, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 257-3962.
Mrs Gwen Gloria Johnson is licensed to practice in Massachusetts (license number 77) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245823434.
Healthcare Provider's Profile
| Full Name | Mrs Gwen Gloria Johnson |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 33 Years |
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| Location | 25 Ashley St, Pepperell, Massachusetts |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Gwen Gloria Johnson graduated from medical school in 1992
NPI Data:
- NPI Number: 1245823434
- Provider Enumeration Date: 02/18/2021
- Last Update Date: 02/18/2021
Medicare PECOS Information:
- PECOS PAC ID: 0244646743
- Enrollment ID: I20210308002859
Medical Identifiers
Medical identifiers for Mrs Gwen Gloria Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1245823434 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 77 (Massachusetts) | 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. Mrs Gwen Gloria 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 |
Mrs Gwen Gloria Johnson, RD, LD 25 Ashley St, Pepperell, MA 01463-4206 Ph: (978) 257-3962 | Mrs Gwen Gloria Johnson, RD, LD 25 Ashley St, Pepperell, MA 01463-4206 Ph: (978) 257-3962 |
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