Brianne Camilla Johnsen, is a medicare enrolled "Speech-language Pathologist" provider in Sandstone, Minnesota. Her current practice location is
109 Court Ave S, Sandstone, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(320) 245-2211.
Brianne Camilla Johnsen is licensed to practice in Minnesota (license number 7745) 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 1962562009.
Healthcare Provider's Profile
| Full Name | Brianne Camilla Johnsen |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 109 Court Ave S, Sandstone, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1962562009
- Provider Enumeration Date: 12/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8921549981
- Enrollment ID: I20240918002797
Medical Identifiers
Medical identifiers for Brianne Camilla Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1962562009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 7745 (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. Brianne Camilla Johnsen allows following entities to bill medicare on her behalf.
| Provider Name | The Duluth Clinic Ltd |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1902563638
PECOS PAC ID: 2567374283
Enrollment ID: O20031103000229 |
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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. Brianne Camilla Johnsen 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 |
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Brianne Camilla Johnsen,
109 Court Ave S,
Sandstone, MN 55072-5120
Ph: (320) 245-2211 | Brianne Camilla Johnsen,
109 Court Ave S,
Sandstone, MN 55072-5120
Ph: (320) 245-2211 |
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