Thomas Johnson Iii, APRN, CNP - Medicare Nurse Practitioner in Grand Rapids, MN

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Thomas Johnson Iii, APRN, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Grand Rapids, Minnesota. His current practice location is 516 S Pokegama Ave, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 327-2001.

Thomas Johnson Iii is licensed to practice in Minnesota (license number 2950) 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 1609051168.

Contact Information

Thomas Johnson Iii, APRN, CNP
516 S Pokegama Ave,
Grand Rapids, MN 55744-3820
(218) 327-2001
(218) 302-1457

Map and Direction




Provider's Profile

Full NameThomas Johnson Iii
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location516 S Pokegama Ave, Grand Rapids, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609051168
  • Provider Enumeration Date: 01/03/2008
  • Last Update Date: 11/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1254566557
  • Enrollment ID: I20131022001141

Medical Identifiers

Medical identifiers for Thomas Johnson Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609051168NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse R 179591-6 (Minnesota)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 2950 (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. Thomas Johnson Iii allows following entities to bill medicare on his behalf.
Entity NameLakeview Behavioral Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154404325
PECOS PAC ID: 9537432307
Enrollment ID: O20170830003216

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. Thomas Johnson Iii 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
Thomas Johnson Iii, APRN, CNP
516 S Pokegama Ave,
Grand Rapids, MN 55744-3820

Ph: (218) 302-4468		Thomas Johnson Iii, APRN, CNP
516 S Pokegama Ave,
Grand Rapids, MN 55744-3820

Ph: (218) 327-2001

Reviews and Comments


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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.