Patrick Doyle Johnson, LGSW is a medicare enrolled "Counselor - Mental Health" provider in Minneapolis, Minnesota. He graduated from medical school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
2912 N 2nd St, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(952) 258-3989.
Patrick Doyle Johnson is licensed to practice in Minnesota (license number 31334) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1720700784.
Healthcare Provider's Profile
| Full Name | Patrick Doyle Johnson |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 2912 N 2nd St, Minneapolis, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Patrick Doyle Johnson graduated from medical school in 2022
NPI Data:
- NPI Number: 1720700784
- Provider Enumeration Date: 09/16/2022
- Last Update Date: 09/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 2163913559
- Enrollment ID: I20251113001836
Medical Identifiers
Medical identifiers for Patrick Doyle Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720700784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 4046 (Minnesota) | Secondary |
| 101YM0800X | Counselor - Mental Health | 31334 (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. Patrick Doyle Johnson allows following entities to bill medicare on his behalf.
| Provider Name | Ainga Mental Health and Consulting LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1851034821
PECOS PAC ID: 9032583133
Enrollment ID: O20230313000425 |
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| Provider Name | Elite Recovery LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1679949044
PECOS PAC ID: 5496251985
Enrollment ID: O20251002004812 |
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| Provider Name | Crestpoint Wellness, LLC |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952143745
PECOS PAC ID: 1254803646
Enrollment ID: O20260617000740 |
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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. Patrick Doyle 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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Patrick Doyle Johnson, LGSW
2912 N 2nd St,
Minneapolis, MN 55411-1606
Ph: Not Available | Patrick Doyle Johnson, LGSW
2912 N 2nd St,
Minneapolis, MN 55411-1606
Ph: (952) 258-3989 |
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