Terrell Gayperail Johnson, is a medicare enrolled "Social Worker - Clinical" provider in Minneapoli, Minnesota. Her current practice location is
825 Nicollet Mall, Medical Arts Building, Suite 300, Minneapoli, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(612) 333-8883.
Terrell Gayperail Johnson is licensed to practice in Minnesota (license number 28040) 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 1073382750.
Healthcare Provider's Profile
Full Name | Terrell Gayperail Johnson |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 825 Nicollet Mall, Minneapoli, 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: 1073382750
- Provider Enumeration Date: 12/22/2023
- Last Update Date: 02/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860835949
- Enrollment ID: I20240206000738
Medical Identifiers
Medical identifiers for Terrell Gayperail Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073382750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 28040 (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. Terrell Gayperail Johnson allows following entities to bill medicare on her behalf.
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
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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. Terrell Gayperail 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 |
Terrell Gayperail Johnson, 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-5000 | Terrell Gayperail Johnson, 825 Nicollet Mall, Medical Arts Building, Suite 300, Minneapoli, MN 55402 Ph: (612) 333-8883 |
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