Larry W Johnson, CRNA in Duluth, MN - Medicare Nurse Anesthetist, Certified Registered

Larry W Johnson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Duluth, Minnesota. His current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-4150.

Larry W Johnson is licensed to practice in Minnesota (license number R113631-3) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255370995.

Contact Information

	Larry W Johnson, CRNA
	400 E 3rd St, Duluth, MN 55805-1951
	(218) 786-4150
	Not Available

Map and Direction

Provider's Profile

Full Name	Larry W Johnson
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	400 E 3rd St, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255370995
Provider Enumeration Date: 06/06/2006
Last Update Date: 06/27/2011

Medicare PECOS Information:

PECOS PAC ID: 4688569809
Enrollment ID: I20040217000827

Medical Identifiers

Medical identifiers for Larry W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255370995	NPI	-	NPPES
509162400	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	R113631-3 (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. Larry W Johnson allows following entities to bill medicare on his behalf.

Entity Name	The Duluth Clinic Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229

Entity Name	Northern Pines Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639278609 PECOS PAC ID: 3870565641 Enrollment ID: O20040811000988

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. Larry W 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
Larry W Johnson, CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-4150	Larry W Johnson, CRNA 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-4150

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Duluth, MN

Christian Conner, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-4150
Scott Ian Halvorson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555
Jennifer M Heitzman, RN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth, MN 55805 Phone: 218-786-8364
Emily Kathryn Eash, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534
Julie Kay Hendricks, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 400 E 3rd St, Duluth Clinic, Duluth, MN 55805 Phone: 218-786-8364
Jesse Stokke, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534
Luke Andrew Schumacher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5352 Fax: 218-249-5534

Larry W Johnson, CRNA - Medicare Nurse Anesthetist, Certified Registered in Duluth, MN