Idella Johnson, PA-C - Medicare Physician Assistant in Tazewell, TN

Idella Johnson, PA-C is a medicare enrolled "Physician Assistant" in Tazewell, Tennessee. Her current practice location is 1610 Tazewell Rd, Suite 201, Tazewell, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 626-8393.

Idella Johnson is licensed to practice in Tennessee (license number 670) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073554523.

Contact Information

Idella Johnson, PA-C
1610 Tazewell Rd, Suite 201,
Tazewell, TN 37879-3600
(423) 626-8393
(423) 626-8749

Map and Direction




Provider's Profile

Full NameIdella Johnson
GenderFemale
SpecialityPhysician Assistant
Location1610 Tazewell Rd, Tazewell, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073554523
  • Provider Enumeration Date: 06/08/2006
  • Last Update Date: 12/16/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4284769563
  • Enrollment ID: I20100312000338

Medical Identifiers

Medical identifiers for Idella Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073554523NPI-NPPES
3669471MedicaidTN
4058153OtherTNBCBS OF TENNESSEE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 670 (Tennessee)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. Idella 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 AddressPractice Location Address
Idella Johnson, PA-C
1610 Tazewell Rd, Suite 201,
Tazewell, TN 37879-3600

Ph: (423) 626-8393
Idella Johnson, PA-C
1610 Tazewell Rd, Suite 201,
Tazewell, TN 37879-3600

Ph: (423) 626-8393

Reviews and Comments


Physician Assistant Nurses in Tazewell, TN

George Thompson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1610 Tazewell Rd, Tazewell, TN 37879
Phone: 865-588-8229    Fax: 865-212-0163
Haley Henard Debusk, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 424 N. Broad Street, New Tazwell, Tazewell, TN 37825
Phone: 423-257-5700    Fax: 865-374-2200
Gibson Deane Calfee, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1610 Tazewell Rd Ste 302, Tazewell, TN 37879
Phone: 423-626-0374    
Tonya Sherell Apperley, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1610 Tazewell Rd, Tazewell, TN 37879
Phone: 865-588-8229    Fax: 865-212-0163
Kaitlyn Hope Kincaid, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1850 Old Knoxville Rd, Tazewell, TN 37879
Phone: 423-626-4211    
Rondal Keith Brock, P.A.C.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: Tazewell Medical Clinic 1442 North Broad Street, Suite 7, Tazewell, TN 37879
Phone: 423-626-6145    Fax: 423-526-2804

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.