Kristine Ann Johnson, PA-C is a medicare enrolled "Physician Assistant" in North St Paul, Minnesota. Her current practice location is
2601 Centennial Dr Ste 100, North St Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 777-7414.
Kristine Ann Johnson is licensed to practice in Minnesota (license number 10583) 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 1164651824.
Provider's Profile
Full Name | Kristine Ann Johnson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 2601 Centennial Dr Ste 100, North St Paul, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1164651824
- Provider Enumeration Date: 07/02/2009
- Last Update Date: 04/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395890131
- Enrollment ID: I20090901000093
Medical Identifiers
Medical identifiers for Kristine Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164651824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 10583 (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. Kristine 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 |
Kristine Ann Johnson, PA-C 2025 Sloan Pl Ste 35, Saint Paul, MN 55117-2092 Ph: (651) 772-1572 | Kristine Ann Johnson, PA-C 2601 Centennial Dr Ste 100, North St Paul, MN 55109-3087 Ph: (651) 777-7414 |
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