Mr Timothy Roger Johnson, MA LMFT in Willmar, MN - Medicare Marriage & Family Therapist Provider

Mr Timothy Roger Johnson, MA LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Willmar, Minnesota. His current practice location is 217 Industrial Dr Sw, Willmar, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 905-0795.

Mr Timothy Roger Johnson is licensed to practice in Minnesota (license number 1071) 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 1699864660.

Contact Information

	Mr Timothy Roger Johnson, MA LMFT
	217 Industrial Dr Sw, Willmar, MN 56201
	(320) 905-0795
	(320) 200-7480

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Timothy Roger Johnson
Gender	Male
Speciality	Marriage & Family Therapist
Location	217 Industrial Dr Sw, Willmar, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699864660
Provider Enumeration Date: 10/11/2006
Last Update Date: 06/08/2018

Medicare PECOS Information:

PECOS PAC ID: 2466672456
Enrollment ID: I20240329002266

Medical Identifiers

Medical identifiers for Mr Timothy Roger Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699864660	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	1071 (Minnesota)	Secondary
106H00000X	Marriage & Family Therapist	1071 (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. Mr Timothy Roger Johnson allows following entities to bill medicare on his behalf.

Entity Name	Community Outreach Counseling Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245673482 PECOS PAC ID: 1557581543 Enrollment ID: O20140925000054

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. Mr Timothy Roger 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
Mr Timothy Roger Johnson, MA LMFT Po Box 284, Willmar, MN 56201-0284 Ph: (320) 905-0795	Mr Timothy Roger Johnson, MA LMFT 217 Industrial Dr Sw, Willmar, MN 56201 Ph: (320) 905-0795

Reviews and Comments

Marriage & Family Therapist in Willmar, MN

Whitney Berg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2120 60th Ave Ne, Willmar, MN 56201 Phone: 320-905-4345
Catherine Loucile Moudry, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 320-235-9384
Mrs. Barbara Jean Nelson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 28th Ave Sw, Willmar, MN 56201 Phone: 320-214-8558 Fax: 320-235-2733
Amanda Marie Crennen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2320 Highway 12 E Ste 2, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924
Louise Annette Ferry, MA LAMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1125 6th Street Se, Woodland Centers, Willmar, MN 56201 Phone: 320-231-9148 Fax: 320-231-9140
Mr. Joshua Allen Pierskalla, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1125 6th St Se, Willmar, MN 56201 Phone: 320-235-4613 Fax: 855-625-7406
Ana Radloff, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2320 Highway 12 E Ste 2, Willmar, MN 56201 Phone: 320-214-9692 Fax: 320-214-9924

Mr Timothy Roger Johnson, MA LMFT - Medicare Couples Therapy in Willmar, MN