Audrey Johnson, PA-S is a
Student In An Organized Health Care Education/training Program based in Tampa, Florida. Audrey Johnson is licensed to practice in * (Not Available) (license number ) and her current practice location is
12901 Bruce B Downs Blvd, Tampa, Florida. She can be reached at her office (for appointments etc.) via phone at
(813) 974-8926.
NPI number for Audrey Johnson is 1760236095 and her current mailing address is 1043 Union St, Clearwater, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760236095.
Provider's Profile
| Full Name | Audrey Johnson |
|---|
| Gender | Female |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 12901 Bruce B Downs Blvd, Tampa, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760236095
- Provider Enumeration Date: 04/15/2024
- Last Update Date: 04/15/2024
Medical Identifiers
Medical identifiers for Audrey Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760236095 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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. Audrey Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Audrey Johnson, PA-S
1043 Union St,
Clearwater, FL 33755-1046
Ph: (757) 642-8701 | Audrey Johnson, PA-S
12901 Bruce B Downs Blvd,
Tampa, FL 33612-4742
Ph: (813) 974-8926 |
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