Dr Kalyn M Gebhardt Johnson, PHD in Waupun, WI - Medicare Psychologist Provider

Dr Kalyn M Gebhardt Johnson, PHD is a medicare enrolled "Psychologist" provider in Waupun, Wisconsin. Her current practice location is 620 W Brown St, Waupun, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 324-7600.

Dr Kalyn M Gebhardt Johnson is licensed to practice in Wisconsin (license number 5109-57) 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 1386250462.

Contact Information

	Dr Kalyn M Gebhardt Johnson, PHD
	620 W Brown St, Waupun, WI 53963-1702
	(920) 324-7600
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kalyn M Gebhardt Johnson
Gender	Female
Speciality	Psychologist
Location	620 W Brown St, Waupun, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386250462
Provider Enumeration Date: 09/23/2020
Last Update Date: 10/06/2025

Medicare PECOS Information:

PECOS PAC ID: 9234586868
Enrollment ID: I20231103001304

Medical Identifiers

Medical identifiers for Dr Kalyn M Gebhardt Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386250462	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	5109-57 (Wisconsin)	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 Kalyn M Gebhardt Johnson allows following entities to bill medicare on her behalf.

Entity Name	Agnesian Healthcare Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346228541 PECOS PAC ID: 1658289624 Enrollment ID: O20031104000263

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 Kalyn M Gebhardt 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 Kalyn M Gebhardt Johnson, PHD 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 266-8058	Dr Kalyn M Gebhardt Johnson, PHD 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-7600

Reviews and Comments

Psychologist in Waupun, WI

Dr. Torria Van Buren, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 920-324-5571
Casey Maria Roca, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 S Madison St, Waupun, WI 53963 Phone: 920-324-7272
Robert Norman Deyoung, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1208 S Watertown St, Waupun, WI 53963 Phone: 920-324-4358 Fax: 920-324-4737

Dr Kalyn M Gebhardt Johnson, PHD - Medicare Psychologist in Waupun, WI