Brian Burke Johnson, PLMHP - Medicare Counselor in Boys Town, NE

Brian Burke Johnson, PLMHP is a medicare enrolled "Psychologist" provider in Boys Town, Nebraska. His current practice location is 13460 Walsh Dr, Boys Town, Nebraska. You can reach out to his office (for appointments etc.) via phone at (531) 355-3358.

Brian Burke Johnson is licensed to practice in Georgia (license number PSY004540) 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 1235796004.

Contact Information

Brian Burke Johnson, PLMHP
13460 Walsh Dr,
Boys Town, NE 68010-7529
(531) 355-3358
(531) 355-3375

Healthcare Provider's Profile

Full NameBrian Burke Johnson
GenderMale
SpecialityPsychologist
Location13460 Walsh Dr, Boys Town, Nebraska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235796004
  • Provider Enumeration Date: 05/28/2019
  • Last Update Date: 09/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3173920394
  • Enrollment ID: I20210930000301

Medical Identifiers

Medical identifiers for Brian Burke Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235796004NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor 11864 (Nebraska)Secondary
103T00000XPsychologist PSY004540 (Georgia)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. Brian Burke Johnson allows following entities to bill medicare on his behalf.
Entity NameBlue Ridge Psychological Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750524781
PECOS PAC ID: 1759428063
Enrollment ID: O20091019000599

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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. Brian Burke 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
Brian Burke Johnson, PLMHP
2313 N Webb Rd,
Grand Island, NE 68803-1743

Ph: (308) 381-8851
Brian Burke Johnson, PLMHP
13460 Walsh Dr,
Boys Town, NE 68010-7529

Ph: (531) 355-3358

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Psychologist in Boys Town, NE


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