Vivian Mikayla Ann Johnson, PT, DPT in Minneapolis, MN - Medicare Physical Therapist Provider

Vivian Mikayla Ann Johnson, PT, DPT is a medicare enrolled "Physical Therapist" provider in Minneapolis, Minnesota. Her current practice location is 800 E 28th St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 863-4000.

Vivian Mikayla Ann Johnson is licensed to practice in Minnesota (license number 12387) 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 1023789641.

Contact Information

	Vivian Mikayla Ann Johnson, PT, DPT
	800 E 28th St, Minneapolis, MN 55407-3723
	(612) 863-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Vivian Mikayla Ann Johnson
Gender	Female
Speciality	Physical Therapist
Location	800 E 28th St, Minneapolis, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023789641
Provider Enumeration Date: 09/23/2021
Last Update Date: 02/13/2023

Medicare PECOS Information:

PECOS PAC ID: 2466843685
Enrollment ID: I20211223001473

Medical Identifiers

Medical identifiers for Vivian Mikayla Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023789641	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	12387 (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. Vivian Mikayla Ann Johnson allows following entities to bill medicare on her behalf.

Provider Name	Novacare Outpatient Rehabilitation East Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1558610519 PECOS PAC ID: 3678480290 Enrollment ID: O20121228000194

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. Vivian Mikayla 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
Vivian Mikayla Ann Johnson, PT, DPT 2904 Parkridge Knls, Burnsville, MN 55306-6950 Ph: (952) 657-4200	Vivian Mikayla Ann Johnson, PT, DPT 800 E 28th St, Minneapolis, MN 55407-3723 Ph: (612) 863-4000

Reviews and Comments

Physical Therapist in Minneapolis, MN

Mrs. Allison Lydia Dahl, D.P.T Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: One Veterans Drive, Minneapolis, MN 55417 Phone: 612-725-2000 Fax: 612-725-2049
Shane Pochant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3915 Golden Valley Rd, Minneapolis, MN 55422 Phone: 612-775-2455
John Hunn, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 218-393-6255
Laken Frericks, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 651 Nicollet Mall Ste 275, Minneapolis, MN 55402 Phone: 612-331-5757 Fax: 763-260-7653
Kayleen Lahoud, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7550 34th Ave S, Minneapolis, MN 55450 Phone: 612-727-1167
Julia Elizabeth Mcnaughton, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-863-4000
Melissa Tooman Herron, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1 Veterans Dr, Minneapolis, MN 55417 Phone: 612-818-7081

Vivian Mikayla Ann Johnson, PT, DPT - Medicare Physical Therapist in Minneapolis, MN