Mrs Kristen Sue Johnson, RN, LMFT in Saint Paul, MN - Medicare Marriage & Family Therapist Provider

Mrs Kristen Sue Johnson, RN, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Saint Paul, Minnesota. Her current practice location is 1449 Cleveland Ave N, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 645-5323.

Mrs Kristen Sue Johnson is licensed to practice in Minnesota (license number 2085) 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 1306105606.

Contact Information

	Mrs Kristen Sue Johnson, RN, LMFT
	1449 Cleveland Ave N, Saint Paul, MN 55108-1413
	(651) 645-5323
	(651) 328-8254

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristen Sue Johnson
Gender	Female
Speciality	Marriage & Family Therapist
Location	1449 Cleveland Ave N, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306105606
Provider Enumeration Date: 05/08/2012
Last Update Date: 05/08/2012

Medicare PECOS Information:

PECOS PAC ID: 9133567852
Enrollment ID: I20240401001723

Medical Identifiers

Medical identifiers for Mrs Kristen Sue Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306105606	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2085 (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. Mrs Kristen Sue Johnson allows following entities to bill medicare on her behalf.

Entity Name	Emily Program Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528165065 PECOS PAC ID: 5193623254 Enrollment ID: O20031229000014

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. Mrs Kristen Sue 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
Mrs Kristen Sue Johnson, RN, LMFT 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 Ph: (651) 645-5323	Mrs Kristen Sue Johnson, RN, LMFT 1449 Cleveland Ave N, Saint Paul, MN 55108-1413 Ph: (651) 645-5323

Reviews and Comments

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Mrs Kristen Sue Johnson, RN, LMFT - Medicare Couples Therapy in Saint Paul, MN