Jan Diane Johnson, MD in Minneapolis, MN - Medicare Internal Medicine

Jan Diane Johnson, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Minneapolis, Minnesota. Her current practice location is 4001 Stinson Blvd, Ste 404, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 706-9630.

Jan Diane Johnson is licensed to practice in Minnesota (license number 25663) 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 1407856859.

Contact Information

	Jan Diane Johnson, MD
	4001 Stinson Blvd, Ste 404, Minneapolis, MN 55421-3488
	(612) 706-9630
	Not Available

Map and Direction

Physician's Profile

Full Name	Jan Diane Johnson
Gender	Female
Speciality	Internal Medicine - Critical Care Medicine
Location	4001 Stinson Blvd, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407856859
Provider Enumeration Date: 07/28/2005
Last Update Date: 03/24/2017

Medicare PECOS Information:

PECOS PAC ID: 8527022649
Enrollment ID: I20041117000824

Medical Identifiers

Medical identifiers for Jan Diane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407856859	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	25663 (Minnesota)	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. Jan Diane Johnson allows following entities to bill medicare on her behalf.

Entity Name	Medical Care Services, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083778708 PECOS PAC ID: 5890865463 Enrollment ID: O20091216000591

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. Jan Diane 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 Address	Practice Location Address
Jan Diane Johnson, MD 900 Long Lake Rd, Ste 160, New Brighton, MN 55112-6414 Ph: (651) 631-3759	Jan Diane Johnson, MD 4001 Stinson Blvd, Ste 404, Minneapolis, MN 55421-3488 Ph: (612) 706-9630

Reviews and Comments

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Jan Diane Johnson, MD - Medicare Internal Medicine in Minneapolis, MN