Alicia Renee Johnson, PA is a medicare enrolled "Physician Assistant" in Proctorville, Ohio. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Holzer Clinic Llc and her current practice location is
98 State St, Proctorville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 886-9370.
Alicia Renee Johnson is licensed to practice in Ohio (license number 50.003097RX) 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 1134434830.
Provider's Profile
Full Name | Alicia Renee Johnson |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Experience | 15 Years |
---|
Location | 98 State St, Proctorville, Ohio |
---|
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Alicia Renee Johnson graduated from nursing school in 2009
NPI Data:
- NPI Number: 1134434830
- Provider Enumeration Date: 08/18/2010
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204020480
- Enrollment ID: I20101101001620
Medical Identifiers
Medical identifiers for Alicia Renee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134434830 | NPI | - | NPPES |
0095884 | Medicaid | OH | |
P00914836 | Other | OH | RR MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 50.003097RX (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Holzer Clinic Llc | 5890606008 | 268 |
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. Alicia Renee 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 |
Alicia Renee Johnson, PA 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 886-9370 | Alicia Renee Johnson, PA 98 State St, Proctorville, OH 45669-8163 Ph: (740) 886-9370 |
Reviews and Comments