Matthew Johnson, MA LPCC in Minneapolis, MN - Medicare Counselor Provider

Matthew Johnson, MA LPCC is a medicare enrolled "Counselor - Professional" provider in Minneapolis, Minnesota. His current practice location is 219 Se Main St Ste 400, Minneapolis, Minnesota. You can reach out to his office (for appointments etc.) via phone at (612) 886-2524.

Matthew Johnson is licensed to practice in Minnesota (license number CC00100) 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 1265764641.

Contact Information

	Matthew Johnson, MA LPCC
	219 Se Main St Ste 400, Minneapolis, MN 55414
	(612) 886-2524
	(612) 886-2538

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Johnson
Gender	Male
Speciality	Counselor - Professional
Location	219 Se Main St Ste 400, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265764641
Provider Enumeration Date: 02/09/2010
Last Update Date: 06/12/2018

Medicare PECOS Information:

PECOS PAC ID: 8426400078
Enrollment ID: I20240118003387

Medical Identifiers

Medical identifiers for Matthew Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265764641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	CC00100 (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. Matthew Johnson allows following entities to bill medicare on his behalf.

Entity Name	Ellie Family Services Pllp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740664150 PECOS PAC ID: 8325309669 Enrollment ID: O20180228001972

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. Matthew 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
Matthew Johnson, MA LPCC 219 Se Main St Ste 400, Minneapolis, MN 55414-2151 Ph: (612) 886-2524	Matthew Johnson, MA LPCC 219 Se Main St Ste 400, Minneapolis, MN 55414 Ph: (612) 886-2524

Reviews and Comments

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Matthew Johnson, MA LPCC - Medicare Counselor in Minneapolis, MN