Jedidiah Johnson, PA-C is a medicare enrolled "Radiology - Diagnostic Radiology" in Mesa, Arizona. He graduated from nursing school in 2018 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Sonoran Radiology Ltd and his current practice location is
6424 E Broadway Rd Ste 101, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at
(480) 456-9000.
Jedidiah Johnson is licensed to practice in Arizona (license number 7194) 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 1689155673.
Provider's Profile
| Full Name | Jedidiah Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 8 Years |
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| Location | 6424 E Broadway Rd Ste 101, Mesa, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jedidiah Johnson graduated from nursing school in 2018
NPI Data:
- NPI Number: 1689155673
- Provider Enumeration Date: 08/27/2018
- Last Update Date: 01/30/2019
Medicare PECOS Information:
- PECOS PAC ID: 5496095705
- Enrollment ID: I20190325001129
Medical Identifiers
Medical identifiers for Jedidiah Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689155673 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 7194 (Arizona) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sonoran Radiology Ltd | 3375964505 | 386 |
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. Jedidiah 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 |
|---|
Jedidiah Johnson, PA-C
1201 S Alma School Rd Ste 14000,
Mesa, AZ 85210-2096
Ph: () - | Jedidiah Johnson, PA-C
6424 E Broadway Rd Ste 101,
Mesa, AZ 85206-1750
Ph: (480) 456-9000 |
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