Jedidiah Johnson, PA-C - Medicare Physician Assistant in Mesa, AZ

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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.

Contact Information

Jedidiah Johnson, PA-C
6424 E Broadway Rd Ste 101,
Mesa, AZ 85206-1750
(480) 456-9000
Not Available

Map and Direction




Provider's Profile

Full NameJedidiah Johnson
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location6424 E Broadway Rd Ste 101, Mesa, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1689155673NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology 7194 (Arizona)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Banner Baywood Medical CenterMesa, AZHospital
Banner Ocotillo Medical CenterChandler, AZHospital
Banner Desert Medical CenterMesa, AZHospital
Banner Casa Grande Medical CenterCasa grande, AZHospital
Banner Ironwood Medical CenterQueen creek, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sonoran Radiology Ltd3375964505466

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jedidiah Johnson allows following entities to bill medicare on his behalf.
Entity NameSouthwest Diagnostic Imaging LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902896236
PECOS PAC ID: 7416946199
Enrollment ID: O20040507001294
Entity NameEvac LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073772588
PECOS PAC ID: 6709953508
Enrollment ID: O20080919000550
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20200526002412

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 AddressPractice Location Address
Jedidiah Johnson, PA-C
1201 S Alma School Rd Ste 14000,
Mesa, AZ 85210-2096

Ph: Not Available		Jedidiah Johnson, PA-C
6424 E Broadway Rd Ste 101,
Mesa, AZ 85206-1750

Ph: (480) 456-9000

Reviews and Comments



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.