Miss Elise H Johnson, MD is a medicare enrolled "General Practice" physician in Shoreview, Minnesota. She went to University Of Minnesota Medical School and graduated in 2012 and has 12 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Allina Health System and her current practice location is
4194 Lexington Ave N, Shoreview, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 483-5461.
Miss Elise H Johnson is licensed to practice in Minnesota (license number 56936) 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 1427317023.
Physician's Profile
Full Name | Miss Elise H Johnson |
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Gender | Female |
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Speciality | Family Practice |
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Experience | 12 Years |
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Location | 4194 Lexington Ave N, Shoreview, Minnesota |
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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:
- Miss Elise H Johnson attended and graduated from University Of Minnesota Medical School in 2012
NPI Data:
- NPI Number: 1427317023
- Provider Enumeration Date: 05/16/2012
- Last Update Date: 03/27/2019
Medicare PECOS Information:
- PECOS PAC ID: 5698997773
- Enrollment ID: I20190815001879
Medical Identifiers
Medical identifiers for Miss Elise H Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427317023 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 56936 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Allina Health System | 4587573613 | 3101 |
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. Miss Elise H Johnson allows following entities to bill medicare on her behalf.
Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460 |
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Entity Name | Allina Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713 |
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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. Miss Elise H 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 |
Miss Elise H Johnson, MD 260 Cobblestone Dr, Colorado Springs, CO 80906-7624 Ph: (320) 224-6038 | Miss Elise H Johnson, MD 4194 Lexington Ave N, Shoreview, MN 55126 Ph: (651) 483-5461 |
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