Amy B Johnson, MSW, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Corcoran, Minnesota. Her current practice location is
6552 Carriage Way, Corcoran, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 363-5265.
Amy B Johnson is licensed to practice in Minnesota (license number 11438) 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 1841766904.
Healthcare Provider's Profile
Full Name | Amy B Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6552 Carriage Way, Corcoran, 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: 1841766904
- Provider Enumeration Date: 10/16/2018
- Last Update Date: 06/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 3577808799
- Enrollment ID: I20181217001684
Medical Identifiers
Medical identifiers for Amy B Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841766904 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 11438 (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. Amy B 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 |
Amy B Johnson, MSW, LICSW 6552 Carriage Way, Corcoran, MN 55340-4443 Ph: (651) 363-5265 | Amy B Johnson, MSW, LICSW 6552 Carriage Way, Corcoran, MN 55340-4443 Ph: (651) 363-5265 |
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