Mandy Johnson, is a medicare enrolled "Physical Therapist" provider in Lincoln, North Dakota. She graduated from medical school in 2017 and has 7 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Advanced Physical Therapy And Fitness, Llc and her current practice location is
2730 Paintball Way, Lincoln, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 955-2102.
Mandy Johnson is licensed to practice in North Dakota (license number 2219) 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 1629581624.
Healthcare Provider's Profile
Full Name | Mandy Johnson |
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Gender | Female |
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Speciality | Physical Therapy |
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Experience | 7 Years |
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Location | 2730 Paintball Way, Lincoln, North Dakota |
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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:
- Mandy Johnson graduated from medical school in 2017
NPI Data:
- NPI Number: 1629581624
- Provider Enumeration Date: 11/13/2017
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 3375801533
- Enrollment ID: I20190404001324
Medical Identifiers
Medical identifiers for Mandy Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629581624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | 5265 (Idaho) | Secondary |
225100000X | Physical Therapist | 2219 (North Dakota) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Advanced Physical Therapy And Fitness, Llc | 0547386948 | 6 |
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. Mandy Johnson allows following entities to bill medicare on her behalf.
Provider Name | Advanced Physical Therapy And Fitness, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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Provider Identifiers | NPI Number: 1013238112 PECOS PAC ID: 0547386948 Enrollment ID: O20100922001075 |
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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. Mandy 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 |
Mandy Johnson, 1000 Tacoma Ave, Ste 500, Bismarck, ND 58504-7093 Ph: (701) 751-3001 | Mandy Johnson, 2730 Paintball Way, Lincoln, ND 58504-2500 Ph: (701) 955-2102 |
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