Kristine Ann Johnson, PA-C is a
Physician Assistant based in North St Paul, Minnesota. Kristine Ann Johnson is licensed to practice in Minnesota (license number 10583) and her current practice location is
2601 Centennial Dr Ste 100, North St Paul, Minnesota. She can be reached at her office (for appointments etc.) via phone at
(651) 777-7414.
NPI number for Kristine Ann Johnson is 1164651824 and her current mailing address is 2025 Sloan Pl Ste 35, Saint Paul, Minnesota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164651824.
Provider's Profile
| Full Name | Kristine Ann Johnson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 2601 Centennial Dr Ste 100, North St Paul, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164651824
- Provider Enumeration Date: 07/02/2009
- Last Update Date: 04/23/2019
Medical Identifiers
Medical identifiers for Kristine Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164651824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10583 (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. Kristine Ann Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kristine Ann Johnson, PA-C
2025 Sloan Pl Ste 35,
Saint Paul, MN 55117-2092
Ph: (651) 772-1572 | Kristine Ann Johnson, PA-C
2601 Centennial Dr Ste 100,
North St Paul, MN 55109-3087
Ph: (651) 777-7414 |
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