Carol Johnson, BS, LSW is a medicare enrolled "Social Worker - Clinical" provider in Thief River Falls, Minnesota. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sanford Health Network North and her current practice location is
120 Labree Ave S, Thief River Falls, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 683-4351.
Carol Johnson is licensed to practice in Minnesota (license number 19836) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578956702.
Healthcare Provider's Profile
Full Name | Carol Johnson |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 9 Years |
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Location | 120 Labree Ave S, Thief River Falls, Minnesota |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Carol Johnson graduated from medical school in 2015
NPI Data:
- NPI Number: 1578956702
- Provider Enumeration Date: 03/12/2015
- Last Update Date: 01/02/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830509827
- Enrollment ID: I20201103000411
Medical Identifiers
Medical identifiers for Carol Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578956702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 19836 (Minnesota) | Secondary |
1041C0700X | Social Worker - Clinical | 19836 (Minnesota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sanford Health Network North | 8022206663 | 83 |
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. Carol Johnson allows following entities to bill medicare on her behalf.
Entity Name | Sanford Health Of Northern Minnesota |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770849697 PECOS PAC ID: 5597725168 Enrollment ID: O20041025000442 |
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Entity Name | Sanford Health Network North |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429 |
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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. Carol 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 |
Carol Johnson, BS, LSW Po Box 5074, Sioux Falls, SD 57117-5074 Ph: () - | Carol Johnson, BS, LSW 120 Labree Ave S, Thief River Falls, MN 56701-2819 Ph: (218) 683-4351 |
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