John Mark Johnson, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Glencoe, Minnesota. His current practice location is
1805 Hennepin Ave N, Glencoe, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 864-3121.
John Mark Johnson is licensed to practice in Minnesota (license number 44446) 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 1447248943.
Physician's Profile
| Full Name | John Mark Johnson |
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| Gender | Male |
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| Speciality | Obstetrics & Gynecology |
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| Location | 1805 Hennepin Ave N, Glencoe, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1447248943
- Provider Enumeration Date: 10/10/2005
- Last Update Date: 11/25/2020
Medicare PECOS Information:
- PECOS PAC ID: 5799829768
- Enrollment ID: I20100215000806
Medical Identifiers
Medical identifiers for John Mark Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447248943 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 44446 (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. John Mark Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Glencoe Regional Health Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508885633
PECOS PAC ID: 1759292980
Enrollment ID: O20031119000252 |
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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. John Mark 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 |
|---|
John Mark Johnson, DO
1805 Hennepin Ave N,
Glencoe, MN 55336-1416
Ph: (320) 864-3121 | John Mark Johnson, DO
1805 Hennepin Ave N,
Glencoe, MN 55336-1416
Ph: (320) 864-3121 |
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