Dylan Johnston, is a medicare enrolled "Student In An Organized Health Care Education/training Program" in Tulsa, Oklahoma. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Integris Ambulatory Care Corporation and his current practice location is
1111 W 17th St, Tulsa, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 561-1145.
Dylan Johnston is licensed to practice in * (Not Available) (license number ) 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 1609594787.
Provider's Profile
| Full Name | Dylan Johnston |
|---|
| Gender | Male |
|---|
| Speciality | Physician Assistant |
|---|
| Experience | 2 Years |
|---|
| Location | 1111 W 17th St, Tulsa, Oklahoma |
|---|
| 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:
- Dylan Johnston graduated from nursing school in 2024
NPI Data:
- NPI Number: 1609594787
- Provider Enumeration Date: 08/16/2022
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 6709308513
- Enrollment ID: I20250321001234
Medical Identifiers
Medical identifiers for Dylan Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609594787 | 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 |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Integris Ambulatory Care Corporation | 2365408465 | 564 |
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. Dylan Johnston 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 |
|---|
Dylan Johnston,
17765 W Triplett Rd,
Cashion, OK 73016-9694
Ph: (405) 708-8992 | Dylan Johnston,
1111 W 17th St,
Tulsa, OK 74107-1886
Ph: (918) 561-1145 |
Reviews and Comments