Jennifer Lyn Johnson, MS LLP - Medicare Psychologist in Gibraltar, MI

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Jennifer Lyn Johnson, MS LLP is a medicare enrolled "Psychologist" provider in Gibraltar, Michigan. She graduated from medical school in 1999 and has 27 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 13938 M Gibraltar Rd, Gibraltar, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 484-3211.

Jennifer Lyn Johnson is licensed to practice in Michigan (license number 6301010450) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1407290711.

Contact Information

Jennifer Lyn Johnson, MS LLP
13938 M Gibraltar Rd,
Gibraltar, MI 48173-9711
(313) 484-3211
(313) 710-4520

Map and Direction




Healthcare Provider's Profile

Full NameJennifer Lyn Johnson
GenderFemale
SpecialityClinical Psychologist
Experience27 Years
Location13938 M Gibraltar Rd, Gibraltar, Michigan
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Lyn Johnson graduated from medical school in 1999
  NPI Data:
  • NPI Number: 1407290711
  • Provider Enumeration Date: 04/18/2013
  • Last Update Date: 08/26/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5890232367
  • Enrollment ID: I20250815001382

Medical Identifiers

Medical identifiers for Jennifer Lyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407290711NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 6301010450 (Michigan)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 Lyn Johnson allows following entities to bill medicare on her behalf.
Entity NamePure Psychiatry of Michigan PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831701671
PECOS PAC ID: 1254741283
Enrollment ID: O20201103002311
Entity NameConscious Mind Psychiatry of Michigan
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053284737
PECOS PAC ID: 9739665696
Enrollment ID: O20260109002423

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 Lyn 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
Jennifer Lyn Johnson, MS LLP
13938 M Gibraltar Rd,
Gibraltar, MI 48173-9711

Ph: (313) 484-3211		Jennifer Lyn Johnson, MS LLP
13938 M Gibraltar Rd,
Gibraltar, MI 48173-9711

Ph: (313) 484-3211

Reviews and Comments



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.