Dr Timothy Dayle Johnson, DC is a medicare enrolled "Chiropractor" provider in New York Mills, Minnesota. His current practice location is
18 Main Street North, New York Mills, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 385-3859.
Dr Timothy Dayle Johnson is licensed to practice in Minnesota (license number DC-3903) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396817995.
Healthcare Provider's Profile
| Full Name | Dr Timothy Dayle Johnson |
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| Gender | Male |
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| Speciality | Chiropractor |
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| Location | 18 Main Street North, New York Mills, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396817995
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8729137138
- Enrollment ID: I20090514000066
Medical Identifiers
Medical identifiers for Dr Timothy Dayle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1396817995 | NPI | - | NPPES |
| 305468300 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 111N00000X | Chiropractor | DC-3903 (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. Dr Timothy Dayle Johnson allows following entities to bill medicare on his behalf.
| Provider Name | New York Mills Family Spine Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1306087630 PECOS PAC ID: 0446309850 Enrollment ID: O20090514000080 |
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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. Dr Timothy Dayle 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 |
Dr Timothy Dayle Johnson, DC Po Box 149, New York Mills, MN 56567-0149 Ph: (218) 385-3859 | Dr Timothy Dayle Johnson, DC 18 Main Street North, New York Mills, MN 56567-0149 Ph: (218) 385-3859 |
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