Mrs Kyrsten Ann Johnson, MD in Maple Grove, MN

Mrs Kyrsten Ann Johnson, MD is a medicare enrolled "Pediatrics" physician in Maple Grove, Minnesota. Her current practice location is 12000 Elm Creek Blvd N, Suite 250, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 401-8300.

Mrs Kyrsten Ann Johnson is licensed to practice in Minnesota (license number 60466) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487997037.

Contact Information

	Mrs Kyrsten Ann Johnson, MD
	12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073
	(952) 401-8300
	(952) 401-8242

Map and Direction

Physician's Profile

Full Name	Mrs Kyrsten Ann Johnson
Gender	Female
Speciality	Pediatrics
Location	12000 Elm Creek Blvd N, Maple Grove, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487997037
Provider Enumeration Date: 04/02/2013
Last Update Date: 09/19/2017

Medicare PECOS Information:

PECOS PAC ID: 0749411387
Enrollment ID: I20161020000690

Medical Identifiers

Medical identifiers for Mrs Kyrsten Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487997037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	60466 (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. Mrs Kyrsten Ann Johnson allows following entities to bill medicare on her behalf.

Entity Name	South Lake Clinic Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427027184 PECOS PAC ID: 3173500303 Enrollment ID: O20040706000564

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. Mrs Kyrsten Ann 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
Mrs Kyrsten Ann Johnson, MD 17705 Hutchins Dr., # 250, Minnetonka, MN 55345 Ph: (952) 401-8300	Mrs Kyrsten Ann Johnson, MD 12000 Elm Creek Blvd N, Suite 250, Maple Grove, MN 55369-7073 Ph: (952) 401-8300

Reviews and Comments

Pediatrics Doctors in Maple Grove, MN

Laura Woodbeck Moustafa, Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861
Dr. Susan K. Mahle, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Pamela Jean Niksich, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 763-559-2861 Fax: 763-559-1338
Gretchen A Voge, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9875 Hospital Dr, Maple Grove, MN 55369 Phone: 888-455-2229
Aaron Wendell Swenson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-322-6903
Jeanne D Mrozek, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 9325 Upland Lane N, Suite 360, Maple Grove, MN 55369 Phone: 612-813-6475
Dr. Rebecca A Doege, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 12720 Bass Lake Rd, Maple Grove, MN 55369 Phone: 414-266-2000

Mrs Kyrsten Ann Johnson, MD - Medicare Pediatrics in Maple Grove, MN