Mrs Gwen Gloria Johnson, RD, LD in Pepperell, MA - Medicare Dietitian, Registered Provider

Mrs Gwen Gloria Johnson, RD, LD is a medicare enrolled "Dietitian, Registered" provider in Pepperell, Massachusetts. 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 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 1245823434.

Contact Information

	Mrs Gwen Gloria Johnson, RD, LD
	25 Ashley St, Pepperell, MA 01463-4206
	(978) 257-3962
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Gwen Gloria Johnson
Gender	Female
Speciality	Dietitian, Registered
Location	25 Ashley St, Pepperell, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

Reviews and Comments

Dietitian, Registered in Pepperell, MA

Renee Brunelle, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 43 East St., Pepperell, MA 01463 Phone: 508-314-3500 Fax: 800-676-5098
Mrs. Christine Gagnon, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 32a Elm St, Pepperell, MA 01463 Phone: 978-433-2694

Mrs Gwen Gloria Johnson, RD, LD - Medicare Dietitian in Pepperell, MA