Jennifer Johnson, PHD in San Diego, CA - Medicare Psychologist Provider

Jennifer Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in San Diego, California. Her current practice location is 2535 Camino Del Rio S Ste 303, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (301) 836-1939.

Jennifer Johnson is licensed to practice in Maryland (license number 06529) 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 1023783248.

Contact Information

	Jennifer Johnson, PHD
	2535 Camino Del Rio S Ste 303, San Diego, CA 92108-3757
	(301) 836-1939
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jennifer Johnson
Gender	Female
Speciality	Psychologist - Clinical
Location	2535 Camino Del Rio S Ste 303, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023783248
Provider Enumeration Date: 08/10/2021
Last Update Date: 02/07/2023

Medicare PECOS Information:

PECOS PAC ID: 8123484706
Enrollment ID: I20230524001986

Medical Identifiers

Medical identifiers for Jennifer Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023783248	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	06529 (Maryland)	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. Jennifer Johnson allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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. Jennifer 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
Jennifer Johnson, PHD 2535 Camino Del Rio S Ste 303, San Diego, CA 92108-3757 Ph: (301) 836-1939	Jennifer Johnson, PHD 2535 Camino Del Rio S Ste 303, San Diego, CA 92108-3757 Ph: (301) 836-1939

Reviews and Comments

Psychologist in San Diego, CA

Dr. Douglas Brackmann, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3101 4th Ave, San Diego, CA 92103 Phone: 858-735-1667 Fax: 619-542-0332
Barton Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Vasdhs Division Of Geriatric Psychiatry 116a, 3350 La Jolla Village Drive, San Diego, CA 92161 Phone: 858-552-8585
Dr. Lina Kogan-sbarbaro, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1050 University Ave Ste E107, San Diego, CA 92103 Phone: 858-504-7743 Fax: 858-216-1928
Dr. Raymond Peng, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 6540 Lusk Blvd Ste C159, San Diego, CA 92121 Phone: 858-888-9683
Meghan Hammel, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 West Arbor Drive, San Diego, CA 92103 Phone: 619-543-2827
Dr. Rodger Stacy Questin, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 3702 4th Ave, San Diego, CA 92103 Phone: 760-607-7257
Dr. Jessica Lynette Montoya, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 200 W Arbor Dr, San Diego, CA 92103 Phone: 800-926-8273 Fax: 888-539-8781

Jennifer Johnson, PHD - Medicare Psychologist in San Diego, CA