Abby M Johnson

Individual provider Active NPI Social Worker · Gibson City, IL

NPI 1962996397 · NPPES record last updated Sep 8, 2020

Key facts

NPI
1962996397
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
Practice address
4 Doctors Park
Gibson City, IL 60936-2000
Phone
(217) 784-4540
NPI assigned
Jun 19, 2018
Sex
Female
Sole proprietor
Yes

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gibson Community Hospital Association (159 clinicians)

Practice addresses (Care Compare)

806 E Walnut St
Suite a
Watseka, IL 60970-1584
Phone (815) 432-1078

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181110000368 IL Practitioner - Clinical Social Worker 1355695388 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Gibson Community Hospital Association Current
since Sep 22, 2018
Accepting new patients
Gibson Community Hospital Association Single Specialty Current Accepting new patients
Gibson Community Hospital Association Current
since Sep 22, 2018
Accepting new patients

Locations

7 Doctors Park
Gibson City, IL 60936
Phone (217) 784-5500

4 Doctors Park
Gibson City, IL 60936
Phone (217) 784-4540

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

705 S Dixie Hwy
Hoopeston, IL 60942
Phone (217) 283-5530

806 E Walnut St
Ste A
Watseka, IL 60970
Phone (815) 432-1078

806 E Walnut St
Watseka, IL 60970
Phone (815) 432-1078

Interoperability endpoints

  • Direct secure messaging: abby.johnson.p27@direct.gapho.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
104100000X Yes

Addresses

Primary practice location

4 Doctors Park
Gibson City, IL 60936-2000

Mailing address

4 Doctors Park
Gibson City, IL 60936-2000

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address abby.johnson.p27@direct.gapho.nextgenshare.com Direct

Other providers in Gibson City, IL

All providers in Gibson City, IL · Social Worker in Illinois

Sources for this page

Verify at the official NPI Registry.