Axeline Janicke Maisonet Johnson, MD in Riverside, CA

Axeline Janicke Maisonet Johnson, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Riverside, California. Her current practice location is 4371 Latham St Ste 200, Riverside, California. You can reach out to her office (for appointments etc.) via phone at (833) 867-4642.

Axeline Janicke Maisonet Johnson is licensed to practice in California (license number 179054) 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 1649776899.

Contact Information

	Axeline Janicke Maisonet Johnson, MD
	4371 Latham St Ste 200, Riverside, CA 92501-1731
	(833) 867-4642
	Not Available

Map and Direction

Physician's Profile

Full Name	Axeline Janicke Maisonet Johnson
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	4371 Latham St Ste 200, Riverside, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649776899
Provider Enumeration Date: 04/04/2018
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 2668855495
Enrollment ID: I20220811001997

Medical Identifiers

Medical identifiers for Axeline Janicke Maisonet Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649776899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	MD470729 (Pennsylvania)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	179054 (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. Axeline Janicke Maisonet Johnson allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598703647 PECOS PAC ID: 5294649406 Enrollment ID: O20031112000809

Entity Name	County Of Imperial
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225258841 PECOS PAC ID: 9739166927 Enrollment ID: O20040706000950

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. Axeline Janicke Maisonet 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
Axeline Janicke Maisonet Johnson, MD 415 N Camden Drive, Ste 111 #724, Beverly Hills, CA 90210 Ph: (833) 867-4642	Axeline Janicke Maisonet Johnson, MD 4371 Latham St Ste 200, Riverside, CA 92501-1731 Ph: (833) 867-4642

Reviews and Comments

Psychiatry & Neurology Doctors in Riverside, CA

Dr. Dalia N Balsamo, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3125 Myers St, Riverside, CA 92503 Phone: 951-358-4840
Dr. David Robert Seigler, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9990 County Farm Rd, Riverside, CA 92503 Phone: 951-358-4881
Christopher Skorka, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 900 University Ave, Riverside, CA 92521 Phone: 951-827-9197 Fax: 951-827-9197
Richard D Prather, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: Riverside County Dept Of Mental Health, 4095 County Circle Drive, Riverside, CA 92503 Phone: 951-955-8000 Fax: 951-955-8010
Dr. Tokunbo Labisi Williams, M.D Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9990 County Farm Rd, Riverside, CA 92503 Phone: 951-358-4770
Monish Parmar, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4095 County Circle Dr, Riverside, CA 92503 Phone: 951-358-4504
Dr. Sahar Hamidy Osman, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 4234 Riverwalk Pkwy Ste 230, Riverside, CA 92505 Phone: 951-781-3672 Fax: 951-781-0365

Axeline Janicke Maisonet Johnson, MD - Medicare Psychiatry & Neurology in Riverside, CA