US HWY 491 NORTH
SHIPROCK, NM 87420 US PECOS Enrolled
Overview
Johnny Allen is a Social Worker in the SHIPROCK area. Johnny Allen primary office location is at US HWY 491 NORTH and new patients are welcome to contact this healthcare provider for an appointment. The NPI number is 1962492355 and the information was updated approximately 16 years ago.
We have not detected any Exclusions tied directly to this NPI.
Accepts Medicare Assignment: Unknown
Is sole proprietor: NO
Participates in PECOS: YES (See any PECOS details below)
Contact Information
| License Number | State |
|---|---|
| M3754 | NM |
| Type/Issuer | Identifier | State |
|---|---|---|
| MEDICAID | 69338558 | NM |
| MEDICAID | 24989053 | CO |
| Taxonomy | State | Primary? |
|---|---|---|
| Social Worker - Taxonomy Code 104100000X | NM | Y |
PECOS Details:
| Participates in PECOS: | YES |
| PECOS Individual Enrollment ID: | |
| PECOS Individual PAC ID: | |
| Eligible to order/refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible to order/refer Durable Medical Equipment (DME) | Yes |
| Eligible to order/refer Home Health Agency (HHA) | - |
| Eligible to order/refer Power Mobility Devices (PMD) | - |
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