Tara Leigh Johnson, NP in Saint Croix Falls, WI

Tara Leigh Johnson, NP is a medicare enrolled "Nurse Practitioner" in Saint Croix Falls, Wisconsin. Her current practice location is 235 E State St, Saint Croix Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 483-3221.

Tara Leigh Johnson is licensed to practice in Wisconsin (license number 13165) 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 1588387500.

Contact Information

	Tara Leigh Johnson, NP
	235 E State St, Saint Croix Falls, WI 54024-4117
	(715) 483-3221
	(715) 483-0507

Map and Direction

Provider's Profile

Full Name	Tara Leigh Johnson
Gender	Female
Speciality	Nurse Practitioner
Location	235 E State St, Saint Croix Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588387500
Provider Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022

Medicare PECOS Information:

PECOS PAC ID: 1557737350
Enrollment ID: I20221019002272

Medical Identifiers

Medical identifiers for Tara Leigh Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588387500	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	13165 (Wisconsin)	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. Tara Leigh Johnson allows following entities to bill medicare on her behalf.

Entity Name	St. Croix Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043240922 PECOS PAC ID: 9335032184 Enrollment ID: O20040205000217

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. Tara Leigh 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
Tara Leigh Johnson, NP 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221	Tara Leigh Johnson, NP 235 E State St, Saint Croix Falls, WI 54024-4117 Ph: (715) 483-3221

Reviews and Comments

Nurse Practitioner Nurses in Saint Croix Falls, WI

Christie Deloris Shelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 Fax: 715-483-0507
Wanda F Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 204 S Adams St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Heather J Ash, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Andrew Johnson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3261 Fax: 715-483-0507
Jeremy Kwolek, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-407-4197
Victoria R Studtmann, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507
Stephanie June Mysicka, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 235 E State St, Saint Croix Falls, WI 54024 Phone: 715-483-3221 Fax: 715-483-0507

Tara Leigh Johnson, NP - Medicare Nurse Practitioner in Saint Croix Falls, WI