| David Michael Johnson, PA-C | |
|
17400 Reservation Rd, La Conner, WA 98257-8801 | |
| (360) 466-3167 | |
| Not Available |
| Full Name | David Michael Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 17400 Reservation Rd, La Conner, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316490337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA60792211 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Eden Home Health | Bellingham, WA | Home health agency |
| Island Hospital | Anacortes, WA | Hospital |
| Skagit Valley Hospital | Mount vernon, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Swinomish Indian Tribal Community | 3678477288 | 3 |
| Entity Name | Swinomish Indian Tribal Community |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164483285 PECOS PAC ID: 3678477288 Enrollment ID: O20090819000142 |
| Mailing Address | Practice Location Address |
|---|---|
| David Michael Johnson, PA-C Po Box 683, La Conner, WA 98257-0683 Ph: (360) 466-3167 | David Michael Johnson, PA-C 17400 Reservation Rd, La Conner, WA 98257-8801 Ph: (360) 466-3167 |
Erin M. Mallery, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 528 Myrtle St, La Conner, WA 98257 Phone: 360-293-4343 Fax: 360-588-1587 |
Ms. Sarah Berner Wilborn, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17400 Reservation Rd, La Conner, WA 98257 Phone: 360-466-3167 Fax: 360-466-5528 |