Dr Sandra K Johnson, PHD - Medicare Psychologist in Detroit, MI

Dr Sandra K Johnson, PHD is a medicare enrolled "Psychologist" provider in Detroit, Michigan. She graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Evolutis Llc and her current practice location is 1001 Woodward Ave Fl 5, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 739-7836.

Dr Sandra K Johnson is licensed to practice in Michigan (license number 6301006837) 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 1265656516.

Contact Information

Dr Sandra K Johnson, PHD
1001 Woodward Ave Fl 5,
Detroit, MI 48226
(313) 739-7836
(313) 557-1662

Map and Direction




Healthcare Provider's Profile

Full NameDr Sandra K Johnson
GenderFemale
SpecialityClinical Psychologist
Experience36 Years
Location1001 Woodward Ave Fl 5, Detroit, Michigan
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Sandra K Johnson graduated from medical school in 1988
  NPI Data:
  • NPI Number: 1265656516
  • Provider Enumeration Date: 04/11/2007
  • Last Update Date: 09/17/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6406746627
  • Enrollment ID: I20040319000184

Medical Identifiers

Medical identifiers for Dr Sandra K Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265656516NPI-NPPES
6301006837OtherMILICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301006837 (Michigan)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Evolutis Llc55971936078

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 Sandra K Johnson allows following entities to bill medicare on her behalf.
Entity NameDetroit Health And Wellness Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306497318
PECOS PAC ID: 5991132623
Enrollment ID: O20200219000691
Entity NameEvolutis Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821657941
PECOS PAC ID: 5597193607
Enrollment ID: O20210520000704

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 Sandra K 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 Sandra K Johnson, PHD
8200 E Jefferson Ave Apt 1604,
Detroit, MI 48214-3978

Ph: (248) 766-3209
Dr Sandra K Johnson, PHD
1001 Woodward Ave Fl 5,
Detroit, MI 48226

Ph: (313) 739-7836

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.