Jeffrey Randall Johnson, MD in St Louis Park, MN

Jeffrey Randall Johnson, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" physician in St Louis Park, Minnesota. He went to University Of Minnesota Medical School and graduated in 2007 and has 17 years of diverse experience with area of expertise as Pulmonary Disease. He is a member of the group practice Park Nicollet Clinic and his current practice location is 3931 Louisiana Ave S, St Louis Park, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 993-3123.

Jeffrey Randall Johnson is licensed to practice in Minnesota (license number 56938) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659548162.

Contact Information

	Jeffrey Randall Johnson, MD
	3931 Louisiana Ave S, St Louis Park, MN 55426-5000
	(952) 993-3123
	(612) 630-8242

Map and Direction

Physician's Profile

Full Name	Jeffrey Randall Johnson
Gender	Male
Speciality	Pulmonary Disease
Experience	17 Years
Location	3931 Louisiana Ave S, St Louis Park, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jeffrey Randall Johnson attended and graduated from University Of Minnesota Medical School in 2007

NPI Data:

NPI Number: 1659548162
Provider Enumeration Date: 05/14/2008
Last Update Date: 07/23/2019

Medicare PECOS Information:

PECOS PAC ID: 9032349113
Enrollment ID: I20140312000106

Medical Identifiers

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

Identifier	Type	State	Issuer
1659548162	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	56938 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	56938 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1530

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. Jeffrey Randall Johnson allows following entities to bill medicare on his behalf.

Entity Name	Park Nicollet Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

Entity Name	Hutchinson Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053508820 PECOS PAC ID: 0345330072 Enrollment ID: O20080312000695

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. Jeffrey Randall 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
Jeffrey Randall Johnson, MD 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 Ph: (952) 993-3123	Jeffrey Randall Johnson, MD 3931 Louisiana Ave S, St Louis Park, MN 55426-5000 Ph: (952) 993-3123

Reviews and Comments

Internal Medicine Doctors in St Louis Park, MN

Cara Houle, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000
Janet Grayson, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6600
Keith Harmon, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6490 Excelsior Blvd, Suite W300, St Louis Park, MN 55426 Phone: 952-993-3242
Jeffrey J Shultz, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, Park Nicollet Clinic - Heart & Vascular Center, St Louis Park, MN 55426 Phone: 952-993-3246 Fax: 952-993-3010
Amanda J Calvin, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3931 Louisiana Ave S, St Louis Park, MN 55426 Phone: 952-993-3230
Sarah Evert, Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-993-3025
Stevie Maxwell, MD Pulmonary Disease Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000

Jeffrey Randall Johnson, MD - Medicare Pulmonary Disease in St Louis Park, MN