Ellen Johnson, OTR/L - Medicare Occupational Therapist in Andover, MN

Ellen Johnson, OTR/L is a medicare enrolled "Occupational Therapist - Pediatrics" provider in Andover, Minnesota. Her current practice location is 1891 Station Pkwy Nw, Andover, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 755-4275.

Ellen Johnson is licensed to practice in Minnesota (license number 105308) 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 1073096608.

Contact Information

Ellen Johnson, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-3341
(763) 755-4275
Not Available



Healthcare Provider's Profile

Full NameEllen Johnson
GenderFemale
SpecialityOccupational Therapist - Pediatrics
Location1891 Station Pkwy Nw, Andover, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073096608
  • Provider Enumeration Date: 09/10/2018
  • Last Update Date: 09/10/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 9234481375
  • Enrollment ID: I20181017003177

Medical Identifiers

Medical identifiers for Ellen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073096608NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics 105308 (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. Ellen Johnson allows following entities to bill medicare on her behalf.
Provider NameFamily Speech & Therapy Services Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1235285966
PECOS PAC ID: 8022335397
Enrollment ID: O20150325001650

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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. Ellen 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
Ellen Johnson, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: () -
Ellen Johnson, OTR/L
1891 Station Pkwy Nw,
Andover, MN 55304-3341

Ph: (763) 755-4275

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Occupational Therapist in Andover, MN

Lisa Michelle Luke, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Mrs. Gina Maria Frattalone Bigelbach, MAOTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Suzanne Berg, M.S. OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    Fax: 763-755-4261
Nicole Elaine Mold, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Laura Bollig, M.A., OTR/L
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    
Shelly Sontag-johnson,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 1891 Station Pkwy Nw, Andover, MN 55304
Phone: 763-755-4275    

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