Jeffrey R Johannsen, CRNA in Detroit Lakes, MN - Medicare Certified Registered Nurse Anesthetist (crna)

Jeffrey R Johannsen, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Detroit Lakes, Minnesota. He graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice St Marys Regional Health Center and his current practice location is 1027 Washington Ave, Detroit Lakes, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 847-5611.

Jeffrey R Johannsen is licensed to practice in Minnesota (license number R141280-4) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730125816.

Contact Information

	Jeffrey R Johannsen, CRNA
	1027 Washington Ave, Detroit Lakes, MN 56501-3409
	(218) 847-5611
	(218) 847-0881

Map and Direction

Provider's Profile

Full Name	Jeffrey R Johannsen
Gender	Male
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	23 Years
Location	1027 Washington Ave, Detroit Lakes, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey R Johannsen graduated from nursing school in 2002

NPI Data:

NPI Number: 1730125816
Provider Enumeration Date: 06/20/2006
Last Update Date: 07/19/2012

Medicare PECOS Information:

PECOS PAC ID: 7416853981
Enrollment ID: I20031208000578

Medical Identifiers

Medical identifiers for Jeffrey R Johannsen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730125816	NPI	-	NPPES
033G2JO	Other	MN	MNBS #
1697627	Other	MN	AMERICA'S PPO/ARAZ #
1730125816	Medicaid	MN
23758	Other	MN	NDBS #
DA9031034432	Other	MN	PREFERRED ONE #
12694	Medicaid	MN
2001891	Other	MN	MEDICA #
24174	Other	MN	LHS/BANNERHEALTH #
HP38479	Other	MN	HEALTHPARTNERS #
150582300	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R141280-4 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health St Marys - Detroit Lakes	Detroit lakes, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St Marys Regional Health Center	2062326820	158

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. Jeffrey R Johannsen allows following entities to bill medicare on his behalf.

Entity Name	St Marys Regional Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679561088 PECOS PAC ID: 2062326820 Enrollment ID: O20031117000090

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. Jeffrey R Johannsen 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
Jeffrey R Johannsen, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611	Jeffrey R Johannsen, CRNA 1027 Washington Ave, Detroit Lakes, MN 56501-3409 Ph: (218) 847-5611

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Detroit Lakes, MN

Jeffrey D. Sliper, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Kristine K Domier, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Carol M Lee, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Russell H Sauer, Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611
Benjamin B Evenson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501 Phone: 218-847-5611 Fax: 218-847-0881
Dewayne M Dunham, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 125 Frazee St E, Detroit Lakes, MN 56501 Phone: 218-844-2300 Fax: 218-844-2444

Jeffrey R Johannsen, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Detroit Lakes, MN