Dr Jean Elizabeth Johnson, PSYD in Eagan, MN - Medicare Psychologist Provider

Dr Jean Elizabeth Johnson, PSYD is a medicare enrolled "Psychologist - Intellectual & Developmental Disabilities" provider in Eagan, Minnesota. Her current practice location is 1301 Corporate Center Dr, Suite 116, Eagan, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 905-1814.

Dr Jean Elizabeth Johnson is licensed to practice in Minnesota (license number LP4356) 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 1285837948.

Contact Information

	Dr Jean Elizabeth Johnson, PSYD
	1301 Corporate Center Dr, Suite 116, Eagan, MN 55121-1298
	(651) 905-1814
	(651) 905-1815

Healthcare Provider's Profile

Full Name	Dr Jean Elizabeth Johnson
Gender	Female
Speciality	Psychologist - Intellectual & Developmental Disabilities
Location	1301 Corporate Center Dr, Eagan, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285837948
Provider Enumeration Date: 06/08/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6002812336
Enrollment ID: I20101029001219

Medical Identifiers

Medical identifiers for Dr Jean Elizabeth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285837948	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LP4356 (Minnesota)	Primary
103T00000X	Psychologist	LP4356 (Minnesota)	Primary
103TA0700X	Psychologist - Adult Development & Aging	LP4356 (Minnesota)	Primary
103TB0200X	Psychologist - Cognitive & Behavioral	LP4356 (Minnesota)	Primary
103TC0700X	Psychologist - Clinical	LP4356 (Minnesota)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	LP4356 (Minnesota)	Primary
103TF0000X	Psychologist - Family	LP4356 (Minnesota)	Primary
103TM1800X	Psychologist - Intellectual & Developmental Disabilities	LP4356 (Minnesota)	Primary

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. Dr Jean Elizabeth 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
Dr Jean Elizabeth Johnson, PSYD 8362 Tamarack Vlg, Suite 119, Box 172, Woodbury, MN 55125-3392 Ph: (651) 402-6209	Dr Jean Elizabeth Johnson, PSYD 1301 Corporate Center Dr, Suite 116, Eagan, MN 55121-1298 Ph: (651) 905-1814

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Dr Jean Elizabeth Johnson, PSYD - Medicare Counselor in Eagan, MN