David Michael Johnson, is a medicare enrolled "Physician Assistant - Medical" in Highland, Utah. His current practice location is
11578 N Broadleaf Hollow Ln, Highland, Utah. You can reach out to his office (for appointments etc.) via phone at
(208) 577-8820.
David Michael Johnson is licensed to practice in Utah (license number 12423884-8906) 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 1891375416.
Provider's Profile
| Full Name | David Michael Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 11578 N Broadleaf Hollow Ln, Highland, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1891375416
- Provider Enumeration Date: 04/08/2021
- Last Update Date: 10/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9234521659
- Enrollment ID: I20220117000158
Medical Identifiers
Medical identifiers for David Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891375416 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363AM0700X | Physician Assistant - Medical | 12423884-8906 (Utah) | 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. David Michael 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 |
David Michael Johnson, 11578 N Broadleaf Hollow Ln, Highland, UT 84003-5633 Ph: (208) 577-8820 | David Michael Johnson, 11578 N Broadleaf Hollow Ln, Highland, UT 84003-5633 Ph: (208) 577-8820 |
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