Dr Glen Lee Johnson, PHD - Medicare Psychologist in Traverse City, MI

Dr Glen Lee Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Traverse City, Michigan. He graduated from medical school in 1982 and has 42 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice New Approaches Center and his current practice location is 5123 N Royal Dr, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 929-7358.

Dr Glen Lee Johnson is licensed to practice in Michigan (license number 6301006001) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992758353.

Contact Information

Dr Glen Lee Johnson, PHD
5123 N Royal Dr,
Traverse City, MI 49684-9201
(231) 929-7358
(231) 935-0941

Map and Direction




Healthcare Provider's Profile

Full NameDr Glen Lee Johnson
GenderMale
SpecialityClinical Psychologist
Experience42 Years
Location5123 N Royal Dr, Traverse City, Michigan
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Glen Lee Johnson graduated from medical school in 1982
  NPI Data:
  • NPI Number: 1992758353
  • Provider Enumeration Date: 05/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3274875869
  • Enrollment ID: I20190501000931

Medical Identifiers

Medical identifiers for Dr Glen Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992758353NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 6301006001 (Michigan)Primary
103TC0700XPsychologist - Clinical PY7155 (Florida)Secondary

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 Glen Lee Johnson allows following entities to bill medicare on his behalf.
Entity NameGrand Traverse Assessment And Therapy, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912480518
PECOS PAC ID: 9638411226
Enrollment ID: O20190501000865
Entity NameNew Approaches Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205140142
PECOS PAC ID: 3072929124
Enrollment ID: O20210315002681

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 Glen Lee 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 AddressPractice Location Address
Dr Glen Lee Johnson, PHD
5123 N Royal Dr,
Traverse City, MI 49684-9201

Ph: (231) 929-7358
Dr Glen Lee Johnson, PHD
5123 N Royal Dr,
Traverse City, MI 49684-9201

Ph: (231) 929-7358

Reviews and Comments


Psychologist in Traverse City, MI

Arthur M Newhouse, MA LLP
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Practice Location: 105 Hall St, Suite A, Traverse City, MI 49684
Phone: 231-922-4850    Fax: 231-935-3856
Jill L Platte, MS, LLP
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Practice Location: 105 Hall Street, Suite A, Traverse City, MI 49684
Phone: 231-922-4850    Fax: 231-935-3856
Dr. Terence Lee Bradley, PHD
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Phone: 231-938-5900    
Quentin Paul Kuntz, LLP
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Practice Location: 2226 S. Airport Rd. West, Suite A, Traverse City, MI 49684
Phone: 231-947-2442    Fax: 231-947-2446
Kathleen Wong Seitz, PHD
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Phone: 231-946-6599    
Dr. Elizabeth Garber Bruning, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 10850 E Traverse Hwy, Suite 4000, Traverse City, MI 49684
Phone: 231-935-0790    Fax: 231-935-0791
Lynn Mcandrews, PHD
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Medicare: Not Enrolled in Medicare
Practice Location: 310 W Front St Ste 415, Traverse City, MI 49684
Phone: 231-929-9777    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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