Mr Kurt M Johnson, LCSW - Medicare Clinical Social Worker in Phenix City, AL

Mr Kurt M Johnson, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phenix City, Alabama. His current practice location is 1606 Broad St, Phenix City, Alabama. You can reach out to his office (for appointments etc.) via phone at (334) 480-8888.

Mr Kurt M Johnson is licensed to practice in Alabama (license number 4127C) 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 1134465263.

Contact Information

Mr Kurt M Johnson, LCSW
1606 Broad St,
Phenix City, AL 36867-5081
(334) 480-8888
Not Available



Healthcare Provider's Profile

Full NameMr Kurt M Johnson
GenderMale
SpecialitySocial Worker - Clinical
Location1606 Broad St, Phenix City, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134465263
  • Provider Enumeration Date: 12/18/2012
  • Last Update Date: 10/21/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 3173761954
  • Enrollment ID: I20190929000012

Medical Identifiers

Medical identifiers for Mr Kurt M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134465263NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 149.014379 (Illinois)Secondary
1041C0700XSocial Worker - Clinical 4127C (Alabama)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. Mr Kurt M Johnson allows following entities to bill medicare on his behalf.
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096

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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. Mr Kurt M 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
Mr Kurt M Johnson, LCSW
3700 Bridgewater Rd Apt C8,
Columbus, GA 31909-6309

Ph: (309) 631-0058
Mr Kurt M Johnson, LCSW
1606 Broad St,
Phenix City, AL 36867-5081

Ph: (334) 480-8888

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Social Worker in Phenix City, AL

Elizabeth Parks, LICSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 146 Lee Road 2144, Phenix City, AL 36870
Phone: 706-392-3033    
Erica Fox, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1500 11th Ave, Phenix City, AL 36867
Phone: 334-560-5393    
Megan Marie Doxtator,
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1502 11th Ave, Phenix City, AL 36867
Phone: 334-560-5393    Fax: 334-560-5242
Gabrielle Krystyna Thomas, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 5295 Riverchase Dr Apt 1508, Phenix City, AL 36867
Phone: 229-942-9159    
Nga Nguyen, LCSW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 1701 37th St, Phenix City, AL 36867
Phone: 703-244-5108    
Mr. Eric Graves Sr., LICSW, PIP
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2809 Creekstone Ln, Phenix City, AL 36867
Phone: 706-442-5270    

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