Chad Benjamin Johnson, PT in Duluth, MN - Medicare Physical Therapist Provider

Chad Benjamin Johnson, PT is a medicare enrolled "Physical Therapist" provider in Duluth, Minnesota. His current practice location is 915 E 1st St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 249-5555.

Chad Benjamin Johnson is licensed to practice in Wisconsin (license number 12211) 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 1972794360.

Contact Information

	Chad Benjamin Johnson, PT
	915 E 1st St, Duluth, MN 55805-2107
	(218) 249-5555
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chad Benjamin Johnson
Gender	Male
Speciality	Physical Therapist
Location	915 E 1st St, Duluth, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972794360
Provider Enumeration Date: 08/09/2007
Last Update Date: 04/13/2021

Medicare PECOS Information:

PECOS PAC ID: 5092802884
Enrollment ID: I20071025000375

Medical Identifiers

Medical identifiers for Chad Benjamin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972794360	NPI	-	NPPES
12211	Other	WI	STATE LICENSE
7920	Other	MN	MN LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12211 (Wisconsin)	Primary
225100000X	Physical Therapist	7920 (Minnesota)	Secondary

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. Chad Benjamin Johnson allows following entities to bill medicare on his behalf.

Provider Name	St Lukes Hospital Of Duluth
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1902845068 PECOS PAC ID: 7113834839 Enrollment ID: O20031120000212

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. Chad Benjamin 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
Chad Benjamin Johnson, PT 915 E 1st St, Duluth, MN 55805-2107 Ph: (218) 249-5555	Chad Benjamin Johnson, PT 915 E 1st St, Duluth, MN 55805-2107 Ph: (218) 249-5555

Reviews and Comments

Physical Therapist in Duluth, MN

Michael A Reuter, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Essentia Health St. Mary's Medical Center, Duluth, MN 55805 Phone: 218-786-4000
Hannah Johnson, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 4316 Rice Lake Rd Ste 107, Duluth, MN 55811 Phone: 218-727-1180
Mary Frances Hunt Sloan, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 407 E 3rd St, Duluth, MN 55805 Phone: 218-786-4000
Maria Anne Jacenko, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 724 Maple Grove Rd, Duluth, MN 55811 Phone: 218-724-4900
Kyle Walter Freundschuh, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 E 2nd St, Duluth, MN 55805 Phone: 218-786-5360
Ms. Laura Kendall, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 Miller Trunk Hwy Bldg C, Duluth, MN 55811 Phone: 218-786-5360 Fax: 701-222-3186
Alan David Hagen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 915 E 1st St, Duluth, MN 55805 Phone: 218-249-5555

Chad Benjamin Johnson, PT - Medicare Physical Therapist in Duluth, MN