Jonathan Johnson, is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in West Lebanon, New Hampshire. He graduated from healthcare school in 2020 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Patriot Urgent Care Professionals Pc and his current practice location is
24 Airport Rd, West Lebanon, New Hampshire. You can reach out to his office (for appointments etc.) via phone at
(603) 298-6617.
Jonathan Johnson is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1225301757.
Healthcare Provider's Profile
| Full Name | Jonathan Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 6 Years |
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| Location | 24 Airport Rd, West Lebanon, New Hampshire |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jonathan Johnson graduated from medical school in 2020
NPI Data:
- NPI Number: 1225301757
- Provider Enumeration Date: 02/14/2012
- Last Update Date: 03/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 2860805512
- Enrollment ID: I20210119002416
Medical Identifiers
Medical identifiers for Jonathan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225301757 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Patriot Urgent Care Professionals Pc | 8820248784 | 41 |
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. Jonathan Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Steward Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629398219
PECOS PAC ID: 2860688728
Enrollment ID: O20101119000007 |
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| Entity Name | Patriot Urgent Care Professionals PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417205105
PECOS PAC ID: 8820248784
Enrollment ID: O20121030000548 |
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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. Jonathan 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 |
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Jonathan Johnson,
144 Waterston Ave,
Quincy, MA 02170-3432
Ph: (617) 842-1205 | Jonathan Johnson,
24 Airport Rd,
West Lebanon, NH 03784-1663
Ph: (603) 298-6617 |
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