Anthony Johnson, - Medicare Physician Assistant in Gridley, CA

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Anthony Johnson, is a medicare enrolled "Physician Assistant - Medical" in Gridley, California. His current practice location is 240 Spruce St, Gridley, Gridley, California. You can reach out to his office (for appointments etc.) via phone at (530) 846-9000.

Anthony Johnson is licensed to practice in * (Not Available) (license number ) 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 1205690310.

Contact Information

Anthony Johnson,
240 Spruce St, Gridley,
Gridley, CA 95948
(530) 846-9000
Not Available

Map and Direction




Provider's Profile

Full NameAnthony Johnson
GenderMale
SpecialityPhysician Assistant - Medical
Location240 Spruce St, Gridley, Gridley, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205690310
  • Provider Enumeration Date: 02/08/2024
  • Last Update Date: 05/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6204350333
  • Enrollment ID: I20250409003732

Medical Identifiers

Medical identifiers for Anthony Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205690310NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical (* (Not Available))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. Anthony Johnson allows following entities to bill medicare on his behalf.
Entity NameOrchard Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477522019
PECOS PAC ID: 6800709049
Enrollment ID: O20031112000502
Entity NameAdventist Health Clearlake Hospital Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124018031
PECOS PAC ID: 3072421197
Enrollment ID: O20041112000573

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. Anthony 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
Anthony Johnson,
435 Virginia St Apt A,
Gridley, CA 95948-3043

Ph: Not Available		Anthony Johnson,
240 Spruce St, Gridley,
Gridley, CA 95948

Ph: (530) 846-9000

Reviews and Comments


Physician Assistant Nurses in Gridley, CA

Jennifer Inglet, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 520 Kentucky St, Gridley, CA 95948
Phone: 530-846-6231    Fax: 530-846-4051
Stacy L Frazer, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 225 Spruce St, Gridley, CA 95948
Phone: 530-846-5655    Fax: 530-846-3784
Fariha Atmar, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 135 Spruce St, Gridley, CA 95948
Phone: 530-846-1400    Fax: 530-846-4762

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.