Mrs Stacy Lea Johnston, OTR/L in St. Louis Park, MN - Medicare Occupational Therapist Provider

Mrs Stacy Lea Johnston, OTR/L is a medicare enrolled "Occupational Therapist" provider in St. Louis Park, Minnesota. Her current practice location is 4415 36 1/2 Street West, St. Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 927-9717.

Mrs Stacy Lea Johnston is licensed to practice in Minnesota (license number 100740) 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 1669571261.

Contact Information

	Mrs Stacy Lea Johnston, OTR/L
	4415 36 1/2 Street West, St. Louis Park, MN 55416
	(952) 927-9717
	(952) 927-7687

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Stacy Lea Johnston
Gender	Female
Speciality	Occupational Therapist
Location	4415 36 1/2 Street West, St. Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669571261
Provider Enumeration Date: 09/21/2006
Last Update Date: 04/02/2012

Medicare PECOS Information:

PECOS PAC ID: 2668471038
Enrollment ID: I20061212000581

Medical Identifiers

Medical identifiers for Mrs Stacy Lea Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669571261	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	100740 (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 Stacy Lea Johnston allows following entities to bill medicare on her behalf.

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

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 Stacy Lea Johnston 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 Stacy Lea Johnston, OTR/L 4415 36 1/2 Street West, St. Louis Park, MN 55416 Ph: (952) 927-9717	Mrs Stacy Lea Johnston, OTR/L 4415 36 1/2 Street West, St. Louis Park, MN 55416 Ph: (952) 927-9717

Reviews and Comments

Occupational Therapist in St. Louis Park, MN

Mrs. Katie Freidig, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St. Louis Park, MN 55426 Phone: 952-993-5256 Fax: 952-993-5585
Danielle Flagstad, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd., St. Louis Park, MN 55426 Phone: 952-993-5000
Ms. Sarah Juanita Sekimoto, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4415 West 36 1/2 Street, St. Louis Park, MN 55416 Phone: 952-927-9717
Mrs. Katherine Blair Hall, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3525 Monterey Drive, St. Louis Park, MN 55416 Phone: 952-993-6200

Mrs Stacy Lea Johnston, OTR/L - Medicare Occupational Therapist in St. Louis Park, MN