Dr Carlene E Johnson, OTD,OTR/L is a medicare enrolled "Occupational Therapist" provider in College Grove, Tennessee. She graduated from medical school in 1989 and has 36 years of diverse experience with area of expertise as Occupational Therapist In Private Practice. She is a member of the group practice Legacy Healthcare Services Inc and her current practice location is
6480 Peytonsville Arno Rd, College Grove, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(615) 944-5649.
Dr Carlene E Johnson is licensed to practice in Tennessee (license number OT0000001542) 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 1053919977.
Healthcare Provider's Profile
| Full Name | Dr Carlene E Johnson |
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| Gender | Female |
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| Speciality | Occupational Therapist In Private Practice |
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| Experience | 36 Years |
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| Location | 6480 Peytonsville Arno Rd, College Grove, Tennessee |
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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. |
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Medical Education and Training:
- Dr Carlene E Johnson graduated from medical school in 1989
NPI Data:
- NPI Number: 1053919977
- Provider Enumeration Date: 10/13/2020
- Last Update Date: 04/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7517370935
- Enrollment ID: I20210104001373
Medical Identifiers
Medical identifiers for Dr Carlene E Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053919977 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT0000001542 (Tennessee) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Legacy Healthcare Services Inc | 2163339722 | 3474 |
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 Carlene E Johnson allows following entities to bill medicare on her behalf.
| Provider Name | Legacy Healthcare Services Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306454558
PECOS PAC ID: 2163339722
Enrollment ID: O20200925002518 |
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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. Dr Carlene E 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 |
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Dr Carlene E Johnson, OTD,OTR/L
6480 Peytonsville Arno Rd,
College Grove, TN 37046
Ph: (615) 944-5649 | Dr Carlene E Johnson, OTD,OTR/L
6480 Peytonsville Arno Rd,
College Grove, TN 37046
Ph: (615) 944-5649 |
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