Teresa Evelyn Johnson, DDS, MS, MPH, FASGD is a medicare enrolled "Dentist - General Practice" provider in Madelia, Minnesota. Her current practice location is
115 Drew Ave Se, Madelia, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 642-8742.
Teresa Evelyn Johnson is licensed to practice in Minnesota (license number D10071) 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 1962563874.
Healthcare Provider's Profile
| Full Name | Teresa Evelyn Johnson |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 115 Drew Ave Se, Madelia, 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: 1962563874
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 02/22/2012
Medicare PECOS Information:
- PECOS PAC ID: 3274517255
- Enrollment ID: I20150618001025
Medical Identifiers
Medical identifiers for Teresa Evelyn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962563874 | NPI | - | NPPES |
| 503822700 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | D10071 (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. Teresa Evelyn 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 |
Teresa Evelyn Johnson, DDS, MS, MPH, FASGD 115 Drew Ave Se, Madelia, MN 56062-1841 Ph: (507) 642-8742 | Teresa Evelyn Johnson, DDS, MS, MPH, FASGD 115 Drew Ave Se, Madelia, MN 56062-1841 Ph: (507) 642-8742 |
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