Keith Johnson, MD in Maple Grove, MN - Medicare Family Practice

Keith Johnson, MD is a medicare enrolled "Family Medicine" physician in Maple Grove, Minnesota. He went to University Of Arizona College Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice North Memorial Health Care and his current practice location is 9855 Hospital Dr Ste 102, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 581-5900.

Keith Johnson is licensed to practice in Minnesota (license number 69882) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1013412956.

Contact Information

	Keith Johnson, MD
	9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648
	(763) 581-5900
	(763) 581-5901

Map and Direction

Physician's Profile

Full Name	Keith Johnson
Gender	Male
Speciality	Family Practice
Experience	6 Years
Location	9855 Hospital Dr Ste 102, Maple Grove, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Keith Johnson attended and graduated from University Of Arizona College Of Medicine in 2018

NPI Data:

NPI Number: 1013412956
Provider Enumeration Date: 03/23/2018
Last Update Date: 07/29/2021

Medicare PECOS Information:

PECOS PAC ID: 4981951837
Enrollment ID: I20210812001521

Medical Identifiers

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

Identifier	Type	State	Issuer
1013412956	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	238295 (North Carolina)	Secondary
207Q00000X	Family Medicine	69882 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
North Memorial Health	Robbinsdale, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Memorial Health Care	0042123028	483

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. Keith Johnson allows following entities to bill medicare on his behalf.

Entity Name	North Memorial Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851344907 PECOS PAC ID: 0042123028 Enrollment ID: O20040122000470

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. Keith 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
Keith Johnson, MD 2001 Vail Ave, Charlotte, NC 28207-1248 Ph: (704) 304-7000	Keith Johnson, MD 9855 Hospital Dr Ste 102, Maple Grove, MN 55369-4648 Ph: (763) 581-5900

Reviews and Comments

Family Medicine Doctors in Maple Grove, MN

Dr. Pamela D Doorenbos, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 9825 Hospital Dr, Suite 300, Maple Grove, MN 55369 Phone: 763-494-7500 Fax: 763-494-7501
Dr. Mark S Hench, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 9855 Hospital Dr, Ste 102a, Maple Grove, MN 55369 Phone: 763-581-9220
Mirtha Nesheim, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12000 Elm Creek Blvd N, Maple Grove, MN 55369 Phone: 763-420-5822 Fax: 763-420-6387
Ronald B Boeding, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9645 Grove Cir N Ste 200, Maple Grove, MN 55369 Phone: 763-201-8191 Fax: 763-201-8192
Moushumi Meher, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9825 Hospital Dr Ste 300, Maple Grove, MN 55369 Phone: 763-587-7900 Fax: 763-494-7501
Pamela Kolacz, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6320 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 763-268-0400 Fax: 763-268-0405

Keith Johnson, MD - Medicare Family Practice in Maple Grove, MN