Bryan Mikael Johnson, PA-C in Fosston, MN - Medicare Physician Assistant

Bryan Mikael Johnson, PA-C is a medicare enrolled "Physician Assistant" in Fosston, Minnesota. He graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice First Care Medical Services and his current practice location is 111 2nd St Ne, Fosston, Minnesota. You can reach out to his office (for appointments etc.) via phone at (218) 435-1111.

Bryan Mikael Johnson is licensed to practice in Minnesota (license number 13648) 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 1477106714.

Contact Information

	Bryan Mikael Johnson, PA-C
	111 2nd St Ne, Fosston, MN 56542-1301
	(218) 435-1111
	(218) 435-1112

Map and Direction

Provider's Profile

Full Name	Bryan Mikael Johnson
Gender	Male
Speciality	Physician Assistant
Experience	6 Years
Location	111 2nd St Ne, Fosston, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Bryan Mikael Johnson graduated from nursing school in 2019

NPI Data:

NPI Number: 1477106714
Provider Enumeration Date: 07/16/2019
Last Update Date: 10/20/2025

Medicare PECOS Information:

PECOS PAC ID: 9638400898
Enrollment ID: I20210618000360

Medical Identifiers

Medical identifiers for Bryan Mikael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477106714	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Secondary
363A00000X	Physician Assistant	13648 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Essentia Health Fosston	Fosston, MN	Hospital
Lifecare Medical Center	Roseau, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
First Care Medical Services	3678542842	16

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. Bryan Mikael 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
Bryan Mikael Johnson, PA-C 1702 University Dr S, Fargo, ND 58103-4940 Ph: () -	Bryan Mikael Johnson, PA-C 111 2nd St Ne, Fosston, MN 56542-1301 Ph: (218) 435-1111

Reviews and Comments

Physician Assistant Nurses in Fosston, MN

Corinne A Dargus, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 102 Sather Dr, Fosston, MN 56542 Phone: 218-435-1212 Fax: 218-435-1302
Mrs. Nicole Marie Kiesow, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 111 2nd St Ne, Fosston, MN 56542 Phone: 218-435-1111 Fax: 218-435-1112

Bryan Mikael Johnson, PA-C - Medicare Physician Assistant in Fosston, MN