Michael Kevin Johnson, PHD in Rockwall, TX - Medicare Psychologist Provider

Michael Kevin Johnson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Rockwall, Texas. His current practice location is 2237 Ridge Rd, Ste 101, Rockwall, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 771-3969.

Michael Kevin Johnson is licensed to practice in Texas (license number 36113) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1114298122.

Contact Information

	Michael Kevin Johnson, PHD
	2237 Ridge Rd, Ste 101, Rockwall, TX 75087-5164
	(972) 771-3969
	(972) 771-8258

Map and Direction

Healthcare Provider's Profile

Full Name	Michael Kevin Johnson
Gender	Male
Speciality	Psychologist - Clinical
Location	2237 Ridge Rd, Rockwall, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114298122
Provider Enumeration Date: 01/23/2012
Last Update Date: 12/13/2016

Medicare PECOS Information:

PECOS PAC ID: 4981837325
Enrollment ID: I20140509000097

Medical Identifiers

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

Identifier	Type	State	Issuer
1114298122	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	36113 (Texas)	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. Michael Kevin Johnson allows following entities to bill medicare on his behalf.

Entity Name	Robert F Mehl Iii Phd & Assoc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912999715 PECOS PAC ID: 7618950296 Enrollment ID: O20040612000780

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. Michael Kevin 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
Michael Kevin Johnson, PHD 2237 Ridge Rd, Ste 101, Rockwall, TX 75087-5164 Ph: (972) 771-3969	Michael Kevin Johnson, PHD 2237 Ridge Rd, Ste 101, Rockwall, TX 75087-5164 Ph: (972) 771-3969

Reviews and Comments

Psychologist in Rockwall, TX

Rebecca Girlinghouse, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 935 W Ralph Hall Pkwy Ste 105, Rockwall, TX 75032 Phone: 972-772-8484
Lauren S Fryer, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2237 Ridge Rd, Suite 101, Rockwall, TX 75087 Phone: 972-771-3969 Fax: 972-771-8258
Dr. Mary Kieun You, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2237 Ridge Rd Ste 101, Rockwall, TX 75087 Phone: 972-771-3969
Dr. Connie M Siciliano Avila, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 735 Justin Rd, Rockwall, TX 75087 Phone: 214-830-9879
Dr. Andrea T Vanderpool, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2255 Ridge Rd Ste 210, Rockwall, TX 75087 Phone: 469-525-9089
Dr. Sydney Cole, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 705 Singing Water Dr, Rockwall, TX 75087 Phone: 469-232-7592

Michael Kevin Johnson, PHD - Medicare Psychologist in Rockwall, TX