Douglas Allan Johnson, is a
General Practice physician based in International Falls, Minnesota. Douglas Allan Johnson is licensed to practice in Minnesota (license number 22875) and his current practice location is 2501 Keenan Dr, International Falls, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 293-9431.
NPI number for Douglas Allan Johnson is 1841223708 and his current mailing address is 2501 Keenan Dr, International Falls, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841223708.
Physician's Profile
| Full Name | Douglas Allan Johnson |
|---|
| Gender | Male |
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| Speciality | General Practice |
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| Location | 2501 Keenan Dr, International Falls, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1841223708
- Provider Enumeration Date: 07/07/2006
- Last Update Date: 05/20/2016
Medical Identifiers
Medical identifiers for Douglas Allan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841223708 | NPI | - | NPPES |
| 32404500 | Medicaid | WI | |
| 303363500 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 22875 (Minnesota) | Primary |
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. Douglas Allan Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Douglas Allan Johnson,
2501 Keenan Dr,
International Falls, MN 56649-2181
Ph: (218) 293-9431 | Douglas Allan Johnson,
2501 Keenan Dr,
International Falls, MN 56649-2181
Ph: (218) 293-9431 |
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