Scott William Johnson, - Medicare Obstetrics & Gynecology in Duluth, MN

Scott William Johnson, is a medicare enrolled "Obstetrics & Gynecology" physician in Duluth, Minnesota. His current practice location is 400 E 3rd St, Duluth, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 786-8364.

Scott William Johnson is licensed to practice in Minnesota (license number 32881) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1063445922.

Contact Information

Scott William Johnson,
400 E 3rd St,
Duluth, MN 55805-1951
(218) 786-8364
Not Available



Physician's Profile

Full NameScott William Johnson
GenderMale
SpecialityObstetrics & Gynecology
Location400 E 3rd St, Duluth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063445922
  • Provider Enumeration Date: 07/07/2006
  • Last Update Date: 12/21/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1557409323
  • Enrollment ID: I20091116000403

Medical Identifiers

Medical identifiers for Scott William Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063445922NPI-NPPES
936395500MedicaidMN
31490800MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 32881 (Minnesota)Primary
207V00000XObstetrics & Gynecology 14344 (North Dakota)Secondary

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. Scott William Johnson allows following entities to bill medicare on his behalf.
Entity NameGrand Itasca Clinic And Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669426631
PECOS PAC ID: 8123939550
Enrollment ID: O20031105000209

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Entity NameDouglas County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164424305
PECOS PAC ID: 0648171413
Enrollment ID: O20040115000387

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Entity NameInternational Falls Memorial Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528041183
PECOS PAC ID: 1951365998
Enrollment ID: O20041118000626

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Entity NameLake Region Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093713372
PECOS PAC ID: 3971565334
Enrollment ID: O20060109000246

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Entity NameInternational Falls Memorial Hospital Association
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1528041183
PECOS PAC ID: 1951365998
Enrollment ID: O20061104000465

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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. Scott William 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
Scott William Johnson,
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364
Scott William Johnson,
400 E 3rd St,
Duluth, MN 55805-1951

Ph: (218) 786-8364

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› Verified 4 days ago


Obstetrics & Gynecology Doctors in Duluth, MN

Kirsten Ma Indrelie, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    Fax: 504-988-1846
Dr. Andrea R Lays, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 420 E 1st St, Duluth, MN 55805
Phone: 218-786-8364    
Haley Marie Meyer, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    
Aimee Nelson Van Straaten, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E 1st St, Lower Level, Duluth, MN 55805
Phone: 218-722-5148    
Kelly Jo Greenleaf,
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-3800    
William Gary Turner,
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 400 E 3rd St, Duluth, MN 55805
Phone: 218-786-8364    

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