Dr Carol J Johnson, MD in Fargo, ND - Medicare Family Medicine

Dr Carol J Johnson, MD is a medicare enrolled "Family Medicine - Geriatric Medicine" physician in Fargo, North Dakota. Her current practice location is 1702 University Dr S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 364-3300.

Dr Carol J Johnson is licensed to practice in North Dakota (license number 15917) 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 1679535991.

Contact Information

	Dr Carol J Johnson, MD
	1702 University Dr S, Fargo, ND 58103-4940
	(701) 364-3300
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Carol J Johnson
Gender	Female
Speciality	Family Medicine - Geriatric Medicine
Location	1702 University Dr S, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679535991
Provider Enumeration Date: 04/03/2006
Last Update Date: 10/20/2021

Medicare PECOS Information:

PECOS PAC ID: 1658315288
Enrollment ID: I20050615000186

Medical Identifiers

Medical identifiers for Dr Carol J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679535991	NPI	-	NPPES
HP38799	Other	MN	HEALTH PARTNERS
P00047499	Other	MN	RAILROAD MEDICARE
66-06190	Other	MN	MEDICA URGENT CARE
072K4J0	Other	MN	BLUE CROSS
171680	Other	MN	UCARE MINNESOTA
1882619	Other	MN	AMERICA'S PPO
2110090	Other	MN	FIRST HEALTH GROUP
34407600	Medicaid	WI
607632700	Other	MN	GROUP HEALTH EAU CLAIRE
NA9141035345	Other	MN	PREFERRED ONE
01-18712	Other	MN	MEDICA
607632700	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	45735 (Minnesota)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	45749 (Minnesota)	Secondary
207QG0300X	Family Medicine - Geriatric Medicine	15917 (North Dakota)	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 Carol J Johnson allows following entities to bill medicare on her behalf.

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460

Entity Name	Innovis Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659617504 PECOS PAC ID: 9931298155 Enrollment ID: O20080115000831

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 Carol J 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 Carol J Johnson, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (651) 245-1130	Dr Carol J Johnson, MD 1702 University Dr S, Fargo, ND 58103-4940 Ph: (701) 364-3300

Reviews and Comments

Family Medicine Doctors in Fargo, ND

Dr. Michelle Renae Bradley, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100
Mary M. Nybakken, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-417-2575 Fax: 701-417-2535
Naomi Schuldt, DNP, APRN, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-2000
Randall A Kenninger, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830 Fax: 702-234-8950
Megan Harrington, FNP-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Andrea Leigh Nellermoe Kaster, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Christine Hanish O'donnell, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2400 32nd Ave S, Fargo, ND 58103 Phone: 701-234-8830

Dr Carol J Johnson, MD - Medicare Family Medicine in Fargo, ND