Janelle L Johnson, MD - Medicare Pediatrics in St Cloud, MN

Janelle L Johnson, MD is a medicare enrolled "Pediatrics" physician in St Cloud, Minnesota. Her current practice location is 1900 Centracare Circle, St Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 654-3630.

Janelle L Johnson is licensed to practice in Minnesota (license number 45236) 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 1902897853.

Contact Information

Janelle L Johnson, MD
1900 Centracare Circle,
St Cloud, MN 56303
(320) 654-3630
(320) 654-3657



Physician's Profile

Full NameJanelle L Johnson
GenderFemale
SpecialityPediatrics
Location1900 Centracare Circle, St Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902897853
  • Provider Enumeration Date: 10/31/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6204017486
  • Enrollment ID: I20110221001032

Medical Identifiers

Medical identifiers for Janelle L Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902897853NPI-NPPES
142738OtherU CARE
1679007OtherARAZ GRP AMERICA'S PPO
318J2JOOtherBLUE CROSS BLUE SHIELD
HP35801OtherHEALTH PARTNERS
1202293OtherMEDICA HEALTH PLANS
1032225OtherPREFERRED ONE
2130072OtherFIRST HEALTH PLAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 45236 (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. Janelle L Johnson allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293

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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. Janelle L 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 AddressPractice Location Address
Janelle L Johnson, MD
1900 Centracare Circle,
St Cloud, MN 56303

Ph: (320) 654-3630
Janelle L Johnson, MD
1900 Centracare Circle,
St Cloud, MN 56303

Ph: (320) 654-3630

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Pediatrics Doctors in St Cloud, MN

Jennifer J Rogan, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Centracare Circle, Centracare Clinic Womens & Childrens, St Cloud, MN 56303
Phone: 320-654-3630    
Oluade A. Ajayi, MBBS
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Sixth Ave No, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5731    
Tracey B Thompson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Sixth Ave No, Centra Care Clinic, St Cloud, MN 56303
Phone: 320-240-2832    
Logan Andrew Newman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-656-7115
Edward B Martin - Chafee, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Sixth Ave N, St Cloud, MN 56303
Phone: 320-251-2700    Fax: 320-240-2118
Dr. Marla J Moore, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1200 Sixth Ave N, Centracare Clinic, St Cloud, MN 56303
Phone: 320-252-5731    Fax: 719-447-8987
Kelly B Fandel, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1900 Centracare Circle, Centracare Clinic - Womens & Childrens, St Cloud, MN 56303
Phone: 320-654-3630    

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