Matthew Michael Johnson, DO is a medicare enrolled "Psychiatry & Neurology - Psychiatry" in Fridley, Minnesota. His current practice location is
520 Osborne Rd Ne Ste 210, Fridley, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 236-3800.
Matthew Michael Johnson is licensed to practice in Minnesota (license number 78037) 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 1396173746.
Provider's Profile
Full Name | Matthew Michael Johnson |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 520 Osborne Rd Ne Ste 210, Fridley, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1396173746
- Provider Enumeration Date: 10/23/2013
- Last Update Date: 06/26/2025
Medicare PECOS Information:
- PECOS PAC ID: 3173750221
- Enrollment ID: I20131216001532
Medical Identifiers
Medical identifiers for Matthew Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396173746 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 11487 (Minnesota) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 78037 (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. Matthew Michael 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 |
Matthew Michael Johnson, DO 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000 | Matthew Michael Johnson, DO 520 Osborne Rd Ne Ste 210, Fridley, MN 55432-2718 Ph: (763) 236-3800 |
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