| Jeffrey Norman Johnson, PA-C | |
|
264 Nw Peacock Blvd, Port Saint Lucie, FL 34986-2272 | |
| (772) 323-2523 | |
| Not Available |
| Full Name | Jeffrey Norman Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 31 Years |
| Location | 264 Nw Peacock Blvd, Port Saint Lucie, 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 |
|---|---|---|---|
| 1225087687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA9101353 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic Martin North Hospital | Stuart, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aqua Dermatology Of Florida, Pa | 1153390414 | 184 |
| Entity Name | Waters Edge Dermatology LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134148992 PECOS PAC ID: 6901893155 Enrollment ID: O20040428001535 |
| Entity Name | Aqua Dermatology of Florida, PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538270335 PECOS PAC ID: 1153390414 Enrollment ID: O20041002000097 |
| Mailing Address | Practice Location Address |
|---|---|
| Jeffrey Norman Johnson, PA-C 2845 Pga Blvd, Palm Beach Gardens, FL 33410-2910 Ph: (561) 693-0540 | Jeffrey Norman Johnson, PA-C 264 Nw Peacock Blvd, Port Saint Lucie, FL 34986-2272 Ph: (772) 323-2523 |
Irina Gutsalyuk, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 370 Southeast Veranda Falls Way, Suite 102, Port Saint Lucie, FL 34984 Phone: 772-763-1720 Fax: 772-214-3027 |
Deanna Jantsch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Se Goldtree Dr Ste 103, Port Saint Lucie, FL 34952 Phone: 772-335-8446 |
Jennifer Morales Royall, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10080 Sw Innovation Way Ste 201, Port Saint Lucie, FL 34987 Phone: 772-288-5862 Fax: 772-288-5874 |
Mr. Breeyon Beachel, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 10023 S Us Highway 1, Port Saint Lucie, FL 34952 Phone: 772-398-5339 |
Michael Anthony Tigeleiro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10000 Sw Innovation Way, Port Saint Lucie, FL 34987 Phone: 772-345-8100 |
Gabriela Rozada, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 10198 Sw Village Pkwy Fl 34987, Port Saint Lucie, FL 34987 Phone: 772-934-4990 |
Abigail Flores-toscano, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1881 Se Tiffany Ave Ste 301, Port Saint Lucie, FL 34952 Phone: 772-335-4000 |