Dr Avani Chanel Johnson, OTR in Grapevine, TX - Medicare Occupational Therapist Provider

Dr Avani Chanel Johnson, OTR is a medicare enrolled "Occupational Therapist" provider in Grapevine, Texas. Her current practice location is 1643 Lancaster Dr Ste 100, Grapevine, Texas. You can reach out to her office (for appointments etc.) via phone at (817) 329-2524.

Dr Avani Chanel 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 1932957719.

Contact Information

	Dr Avani Chanel Johnson, OTR
	1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593
	(817) 329-2524
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Avani Chanel Johnson
Gender	Female
Speciality	Occupational Therapist
Location	1643 Lancaster Dr Ste 100, Grapevine, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932957719
Provider Enumeration Date: 05/08/2024
Last Update Date: 05/08/2024

Medicare PECOS Information:

PECOS PAC ID: 1052853819
Enrollment ID: I20240607001370

Medical Identifiers

Medical identifiers for Dr Avani Chanel Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932957719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (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. Dr Avani Chanel Johnson allows following entities to bill medicare on her behalf.

Provider Name	Synergy Care Southeast, Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1427466614 PECOS PAC ID: 6204079163 Enrollment ID: O20141017000587

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. Dr Avani Chanel 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
Dr Avani Chanel Johnson, OTR 922 Valley View Ave, Red Oak, TX 75154-3930 Ph: (469) 337-5067	Dr Avani Chanel Johnson, OTR 1643 Lancaster Dr Ste 100, Grapevine, TX 76051-3593 Ph: (817) 329-2524

Reviews and Comments

Occupational Therapist in Grapevine, TX

Sandy Reed, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2802 Crestridge Ct, Grapevine, TX 76051 Phone: 214-929-8405 Fax: 425-944-8405
Dr. Mckennah Nicole Ramos, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1643 Lancaster Dr Ste 100, Grapevine, TX 76051 Phone: 817-329-2524
Felisha Smith, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Pool Rd, Grapevine, TX 76051 Phone: 817-410-3757
Claire Leighton, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 281-987-5560
Elizabeth K Mccann, OTD, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1650 W College St, Grapevine, TX 76051 Phone: 817-481-1588
Meredith Michelle Moon, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2841 Oak Forest Dr, Grapevine, TX 76051 Phone: 817-307-0795
Christina Marie Jones, L.O.T.A. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 Pool Rd, Grapevine, TX 76051 Phone: 817-778-4142

Dr Avani Chanel Johnson, OTR - Medicare Occupational Therapist in Grapevine, TX