Dr Jean Elizabeth Johnson, PSYD is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in Eagan, Minnesota. Her current practice location is
1301 Corporate Center Dr, Suite 116, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 905-1814.
Dr Jean Elizabeth Johnson is licensed to practice in Minnesota (license number LP4356) 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 1285837948.
Healthcare Provider's Profile
| Full Name | Dr Jean Elizabeth Johnson |
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| Gender | Female |
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| Speciality | Psychologist - Intellectual & Developmental Disabilities |
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| Location | 1301 Corporate Center Dr, Eagan, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1285837948
- Provider Enumeration Date: 06/08/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6002812336
- Enrollment ID: I20101029001219
Medical Identifiers
Medical identifiers for Dr Jean Elizabeth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285837948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LP4356 (Minnesota) | Primary |
| 103T00000X | Psychologist | LP4356 (Minnesota) | Primary |
| 103TA0700X | Psychologist - Adult Development & Aging | LP4356 (Minnesota) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | LP4356 (Minnesota) | Primary |
| 103TC0700X | Psychologist - Clinical | LP4356 (Minnesota) | Primary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | LP4356 (Minnesota) | Primary |
| 103TF0000X | Psychologist - Family | LP4356 (Minnesota) | Primary |
| 103TM1800X | Psychologist - Intellectual & Developmental Disabilities | LP4356 (Minnesota) | Primary |
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 Jean Elizabeth 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 Jean Elizabeth Johnson, PSYD
8362 Tamarack Vlg, Suite 119, Box 172,
Woodbury, MN 55125-3392
Ph: (651) 402-6209 | Dr Jean Elizabeth Johnson, PSYD
1301 Corporate Center Dr, Suite 116,
Eagan, MN 55121-1298
Ph: (651) 905-1814 |
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