Brooke Lauren Johnson, RDN is a medicare enrolled "Dietitian, Registered" provider in Elk River, Minnesota. She graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Park Nicollet Clinic and her current practice location is
24012 98th St Nw, Elk River, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 688-1376.
Brooke Lauren Johnson is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1962174821.
Healthcare Provider's Profile
| Full Name | Brooke Lauren Johnson |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 4 Years |
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| Location | 24012 98th St Nw, Elk River, Minnesota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Brooke Lauren Johnson graduated from medical school in 2022
NPI Data:
- NPI Number: 1962174821
- Provider Enumeration Date: 09/29/2021
- Last Update Date: 09/29/2021
Medicare PECOS Information:
- PECOS PAC ID: 8325548795
- Enrollment ID: I20250821001758
Medical Identifiers
Medical identifiers for Brooke Lauren Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962174821 | NPI | - | NPPES |
| 86177040 | Other | | COMMISSION ON DIETETIC REGISTRATION |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 133V00000X | Dietitian, Registered | 86177040 (* (Not Available)) | Secondary |
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1778 |
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. Brooke Lauren Johnson allows following entities to bill medicare on her behalf.
| Provider Name | Park Nicollet Clinic |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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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. Brooke Lauren 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 |
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Brooke Lauren Johnson, RDN
24012 98th St Nw,
Elk River, MN 55330-4511
Ph: (763) 688-1376 | Brooke Lauren Johnson, RDN
24012 98th St Nw,
Elk River, MN 55330-4511
Ph: (763) 688-1376 |
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