Tamara A Johnson, PA-C - Medicare Physician Assistant in St Louis Park, MN

  1. Home
  2. Physician Assistant
  3. MN
  4. St Louis Park
Tamara A Johnson, PA-C is a medicare enrolled "Physician Assistant" in St Louis Park, Minnesota. Her current practice location is 6490 Excelsior Blvd, Ste W200, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3180.

Tamara A Johnson is licensed to practice in Minnesota (license number 1045) 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 1023206935.

Contact Information

Tamara A Johnson, PA-C
6490 Excelsior Blvd, Ste W200,
St Louis Park, MN 55426-4705
(952) 993-3180
Not Available

Map and Direction




Provider's Profile

Full NameTamara A Johnson
GenderFemale
SpecialityPhysician Assistant
Location6490 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023206935
  • Provider Enumeration Date: 10/05/2007
  • Last Update Date: 10/05/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 8426139296
  • Enrollment ID: I20080117000632

Medical Identifiers

Medical identifiers for Tamara A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023206935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 1045 (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. Tamara A Johnson allows following entities to bill medicare on her behalf.
Entity NamePark Nicollet Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046

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. Tamara A 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 AddressPractice Location Address
Tamara A Johnson, PA-C
6465 Wayzata Blvd, Ste 210,
St Louis Park, MN 55426-1728

Ph: Not Available		Tamara A Johnson, PA-C
6490 Excelsior Blvd, Ste W200,
St Louis Park, MN 55426-4705

Ph: (952) 993-3180

Reviews and Comments


Physician Assistant Nurses in St Louis Park, MN

Amy Vandenberg, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-883-1000    
Kelsey Widmyer Israelson, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416
Phone: 952-883-1000    
Kelly C Greco, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3800 Park Nicollet Blvd, Department Of Dermatology, St Louis Park, MN 55416
Phone: 952-993-3260    Fax: 952-993-0333
Ms. Maggie J Koch, O.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426
Phone: 952-993-3123    
Lucia F Pierson, OPA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426
Phone: 952-993-7169    Fax: 952-993-0300
Mrs. Ann Marie Strong, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: Park Nicollet Clinic-smartcare, 3800 Park Nicollet Blvd Suite 150, St Louis Park, MN 55416
Phone: 952-993-1190    Fax: 952-993-0960
Jack William Bergman, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426
Phone: 952-993-3230    Fax: 952-993-1748

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.