Jaclyn A Johnson, RD in Willmar, MN - Medicare Registered Dietitian Or Nutrition Professional Provider

Jaclyn A Johnson, RD is a medicare enrolled "Dietitian, Registered" provider in Willmar, Minnesota. She went to University Of Minnesota Medical School and graduated in 2016 and has 9 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Centracare Clinic Southwest Llc and her current practice location is 1604 1st St S, Willmar, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 231-6348.

Jaclyn A Johnson is licensed to practice in Minnesota (license number 3952) 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 1811488430.

Contact Information

	Jaclyn A Johnson, RD
	1604 1st St S, Willmar, MN 56201-4243
	(320) 231-6348
	(320) 231-5067

Map and Direction

Healthcare Provider's Profile

Full Name	Jaclyn A Johnson
Gender	Female
Speciality	Registered Dietitian Or Nutrition Professional
Experience	9 Years
Location	1604 1st St S, Willmar, Minnesota
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:

Jaclyn A Johnson attended and graduated from University Of Minnesota Medical School in 2016

NPI Data:

NPI Number: 1811488430
Provider Enumeration Date: 05/21/2018
Last Update Date: 05/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3971851072
Enrollment ID: I20180807000581

Medical Identifiers

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

Identifier	Type	State	Issuer
1811488430	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	3952 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Centracare Clinic Southwest Llc	8426457946	141

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. Jaclyn A Johnson allows following entities to bill medicare on her behalf.

Provider Name	Centracare Clinic Southwest Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1174106264 PECOS PAC ID: 8426457946 Enrollment ID: O20210602002802

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. Jaclyn A 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
Jaclyn A Johnson, RD 1604 1st St S, Willmar, MN 56201-4243 Ph: (320) 231-6348	Jaclyn A Johnson, RD 1604 1st St S, Willmar, MN 56201-4243 Ph: (320) 231-6348

Reviews and Comments

Dietitian, Registered in Willmar, MN

Mrs. Kristen Anne Williamson, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 1604 1st St S, Willmar, MN 56201 Phone: 320-240-2828
Rose Erickson, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1604 1st St S, Willmar, MN 56201 Phone: 320-231-5000
Ms. Janice Kae Forkrud, RD, LD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 502 2nd St Sw, Suite 1, Willmar, MN 56201 Phone: 320-235-7232
Ms. Kathy Ann Claussen, R.D., L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 301 Becker Ave Sw, Willmar, MN 56201 Phone: 320-231-8740
Sandra K Gardner, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1401 16th St Sw, Willmar, MN 56201 Phone: 320-231-1527 Fax: 320-231-0796
Jaime Lynn Schlomann, RD, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 101 Willmar Ave Sw, Willmar, MN 56201 Phone: 320-231-5079 Fax: 320-231-5067
Emily L Bakker, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1604 1st St S, Willmar, MN 56201 Phone: 320-231-5000 Fax: 320-231-5067

Jaclyn A Johnson, RD - Medicare Dietitian in Willmar, MN