Jacqueline Alice Johnsen, DO - Medicare Emergency Medicine in Davis, CA

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Jacqueline Alice Johnsen, DO is a medicare enrolled "Emergency Medicine" physician in Davis, California. She graduated from medical school in 2008 and has 18 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Cep America - California and her current practice location is 2000 Sutter Pl, Davis, California. You can reach out to her office (for appointments etc.) via phone at (530) 757-5111.

Jacqueline Alice Johnsen is licensed to practice in California (license number 20A12181) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1851553887.

Contact Information

Jacqueline Alice Johnsen, DO
2000 Sutter Pl,
Davis, CA 95616-6201
(530) 757-5111
Not Available

Map and Direction




Physician's Profile

Full NameJacqueline Alice Johnsen
GenderFemale
SpecialityEmergency Medicine
Experience18 Years
Location2000 Sutter Pl, Davis, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jacqueline Alice Johnsen graduated from medical school in 2008
  NPI Data:
  • NPI Number: 1851553887
  • Provider Enumeration Date: 07/01/2008
  • Last Update Date: 07/24/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 9234393745
  • Enrollment ID: I20120613000593

Medical Identifiers

Medical identifiers for Jacqueline Alice Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1851553887NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 20A12181 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sutter Davis HospitalDavis, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Cep America - California61037391311278

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. Jacqueline Alice Johnsen allows following entities to bill medicare on her behalf.
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023063542
PECOS PAC ID: 6103739131
Enrollment ID: O20031106000520
Entity NameCep America - California
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548667843
PECOS PAC ID: 6103739131
Enrollment ID: O20040121000458

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. Jacqueline Alice Johnsen 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
Jacqueline Alice Johnsen, DO
2016 Bidwell Way,
Sacramento, CA 95818-4308

Ph: (562) 394-8133		Jacqueline Alice Johnsen, DO
2000 Sutter Pl,
Davis, CA 95616-6201

Ph: (530) 757-5111

Reviews and Comments


Emergency Medicine Doctors in Davis, CA

Elyza Genilo, DO
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Practice Location: 2020 Sutter Pl Ste 101, Davis, CA 95616
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Abram Levin, MD
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Ryan N. Gorton, MD
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Michael Palchak, M.D.
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Phone: 530-979-7775    Fax: 530-758-6904
Kurt S. Kusserow, MD
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Practice Location: 2000 Sutter Place, Davis, CA 95616
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David T. Walters, MD
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Practice Location: 2000 Sutter Place, Davis, CA 95616
Phone: 530-756-6440    
Deven Babubhai Merchant, MD
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Medicare: Medicare Enrolled
Practice Location: 2000 Sutter Place, Davis, CA 95616
Phone: 530-757-5111    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.