Jikesha R Benton-johnson, PSYD - Medicare Psychologist in Roswell, GA

Jikesha R Benton-johnson, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Roswell, Georgia. Her current practice location is 3000 Colonial Center Parkway, Suite 100n, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 317-1034.

Jikesha R Benton-johnson is licensed to practice in Georgia (license number PSY003410) 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 1184883886.

Contact Information

Jikesha R Benton-johnson, PSYD
3000 Colonial Center Parkway, Suite 100n,
Roswell, GA 30076-9328
(404) 317-1034
Not Available



Healthcare Provider's Profile

Full NameJikesha R Benton-johnson
GenderFemale
SpecialityPsychologist - Clinical
Location3000 Colonial Center Parkway, Roswell, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184883886
  • Provider Enumeration Date: 06/06/2008
  • Last Update Date: 10/30/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3072969203
  • Enrollment ID: I20231025000550

Medical Identifiers

Medical identifiers for Jikesha R Benton-johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184883886NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PSY003410 (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. Jikesha R Benton-johnson allows following entities to bill medicare on her behalf.
Entity NameBenevolent Mental Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528742152
PECOS PAC ID: 7517329147
Enrollment ID: O20230815000730

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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. Jikesha R Benton-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
Jikesha R Benton-johnson, PSYD
3000 Colonial Center Parkway, Suite 100n,
Roswell, GA 30076-9328

Ph: (404) 317-1034
Jikesha R Benton-johnson, PSYD
3000 Colonial Center Parkway, Suite 100n,
Roswell, GA 30076-9328

Ph: (404) 317-1034

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Psychologist in Roswell, GA

Dr. Neal A Cohen, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 300 Colonial Center Pkwy, Suite 100, Roswell, GA 30076
Phone: 678-353-3277    Fax: 678-353-3211
Dr. Lee Anne Anne Dickerson, LCP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 555 Sun Valley Dr Ste L1, Roswell, GA 30076
Phone: 404-394-1096    Fax: 404-990-3531
James M Siwy, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 555 Sun Valley Dr, Suite L-4, Roswell, GA 30076
Phone: 770-641-7720    Fax: 770-642-7957
Dr. Mark E. Crawford, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 11111 Houze Rd, Suite 320, Roswell, GA 30076
Phone: 770-993-0051    Fax: 770-993-0052
Dr. Leslie Kim Doehring, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 580 West Crossville Road, Suite 201, Roswell, GA 30075
Phone: 678-494-0089    Fax: 770-643-4854
Dr. Tamyra Edwards, PSYD
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 104 Bombay Ln Ste B, Roswell, GA 30076
Phone: 678-824-7733    

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