Tim Johnson, MSW, LICSW & LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Lake Elmo, Minnesota. His current practice location is
8669 Eagle Point Blvd, Lake Elmo, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 379-0444.
Tim Johnson is licensed to practice in Minnesota (license number 157) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154310126.
Healthcare Provider's Profile
| Full Name | Tim Johnson |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 8669 Eagle Point Blvd, Lake Elmo, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tim Johnson attended and graduated from in
NPI Data:
- NPI Number: 1154310126
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 12/23/2011
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Tim Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154310126 | NPI | - | NPPES |
| 563T1JO | Other | MN | BCBS ID# |
| 62-13403 | Other | MN | MEDICA/UBH ID# |
| 247927 | Other | MN | COMPSYCH |
| O95457000 | Other | | MAGELLAN/AETNA |
| 181557200 | Medicaid | MN | |
| 69599 | Other | MN | VALUE OPTIONS ID# |
| 102218 | Other | | BHP/FAIRVIEW ID# |
| HP45669 | Other | MN | HEALTH PARTNERS ID# |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 409 (Minnesota) | Secondary |
| 106H00000X | Marriage & Family Therapist | 157 (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. Tim 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 |
|---|
Tim Johnson, MSW, LICSW & LMFT
8669 Eagle Point Blvd,
Lake Elmo, MN 55042-8628
Ph: (651) 379-0444 | Tim Johnson, MSW, LICSW & LMFT
8669 Eagle Point Blvd,
Lake Elmo, MN 55042-8628
Ph: (651) 379-0444 |
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