Mrs Miranda Jean Johnson, MS, CCC-SLP in Minnetonka, MN - Medicare Speech-Language Pathologist Provider

Mrs Miranda Jean Johnson, MS, CCC-SLP is a medicare enrolled "Speech-language Pathologist" provider in Minnetonka, Minnesota. Her current practice location is 15265 Minnetonka Blvd., Minnetonka, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 223-2506.

Mrs Miranda Jean Johnson is licensed to practice in Minnesota (license number 9263) 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 1982014460.

Contact Information

	Mrs Miranda Jean Johnson, MS, CCC-SLP
	15265 Minnetonka Blvd., Minnetonka, MN 55345
	(952) 223-2506
	(952) 443-2038

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Miranda Jean Johnson
Gender	Female
Speciality	Speech-language Pathologist
Location	15265 Minnetonka Blvd., Minnetonka, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982014460
Provider Enumeration Date: 05/06/2014
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 2769705318
Enrollment ID: I20150106002386

Medical Identifiers

Medical identifiers for Mrs Miranda Jean Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982014460	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	9263 (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 Miranda Jean Johnson allows following entities to bill medicare on her behalf.

Provider Name	Sunnydays Therapy Inc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1891914412 PECOS PAC ID: 5698900314 Enrollment ID: O20131104001388

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 Miranda Jean 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
Mrs Miranda Jean Johnson, MS, CCC-SLP 9346 Oak Avenue, Waconia, MN 55387 Ph: (952) 223-2506	Mrs Miranda Jean Johnson, MS, CCC-SLP 15265 Minnetonka Blvd., Minnetonka, MN 55345 Ph: (952) 223-2506

Reviews and Comments

Speech-Language Pathologist in Minnetonka, MN

Mrs. Katy Marie Cloutier, MA,CCC,SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396 Fax: 952-548-8760
Kristyne Hass, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Carlson Pkwy, Minnetonka, MN 55305 Phone: 877-407-3422 Fax: 877-407-4329
Alexa Ronayne, Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 10653 Wayzata Blvd, Minnetonka, MN 55305 Phone: 612-364-1901
Elizabeth Marie Deacon, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396
Bertone Speech Language & Communication Services Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 11606 Wayzata Blvd, Minnetonka, MN 55305 Phone: 952-544-0349
Caroline M Hardyman, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Plymouth Rd, Suite 220, Minnetonka, MN 55305 Phone: 952-223-2506
Joan Cromwell, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3395 Plymouth Rd, Minnetonka, MN 55305 Phone: 952-939-0396

Mrs Miranda Jean Johnson, MS, CCC-SLP - Medicare Speech-Language Pathologist in Minnetonka, MN