| Ian James Johnson, PA | |
|
1907 Highway 44 W, Inverness, FL 34453-3801 | |
| (352) 344-2273 | |
| (352) 344-2204 |
| Full Name | Ian James Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 9 Years |
| Location | 1907 Highway 44 W, Inverness, Florida |
| 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 |
|---|---|---|---|
| 1245741420 | NPI | - | NPPES |
| PA1132854 | Other | FL | PROFESSIONAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9110730 (Florida) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Brevard Physician Associates Pllc | 1850535048 | 221 |
| Entity Name | Emergency Physicians of Central Florida LLP |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326033341 PECOS PAC ID: 1850296567 Enrollment ID: O20031205000109 |
| Entity Name | Brevard Physician Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
| Entity Name | Melbourne Emergency Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932562915 PECOS PAC ID: 2860783925 Enrollment ID: O20160620002409 |
| Entity Name | Rockledge Emergency Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306200522 PECOS PAC ID: 5092006619 Enrollment ID: O20160628002737 |
| Mailing Address | Practice Location Address |
|---|---|
| Ian James Johnson, PA 200 Corporate Blvd, Lafayette, LA 70508-3870 Ph: (800) 893-9698 | Ian James Johnson, PA 1907 Highway 44 W, Inverness, FL 34453-3801 Ph: (352) 344-2273 |
Kendra Ann Yerrington, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 308 W Highland Blvd, Inverness, FL 34452 Phone: 352-726-8353 |
William Luke Hydrick, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 131 S Citrus Ave Ste 202, Inverness, FL 34452 Phone: 352-637-0211 |
Shaun Tyler Cook, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 131 S Citrus Ave Ste 202, Inverness, FL 34452 Phone: 352-637-0211 |
Mrs. Victoria W Fenton, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1907 Highway 44 W, Inverness, FL 34453 Phone: 352-794-3897 |
Marija Maya Dujanovic, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 308 W Highland Blvd, Inverness, FL 34452 Phone: 352-726-8353 |
Monica Magly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3580 E Gulf To Lake Hwy, Inverness, FL 34453 Phone: 352-527-6888 |
Frances A Pulice, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 609 W Highland Blvd, Inverness, FL 34452 Phone: 352-726-9707 Fax: 352-726-8763 |