Jennifer Johansson, PA-C - Medicare Physician Assistant in Liverpool, NY

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Jennifer Johansson, PA-C is a medicare enrolled "Physician Assistant" in Liverpool, New York. She went to University Of South Alabama College Of Medicine and graduated in 2012 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Housel Dermatology Pc and her current practice location is 235 Greenfield Pkwy, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at (315) 452-3376.

Jennifer Johansson is licensed to practice in New York (license number 016039) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1578816856.

Contact Information

Jennifer Johansson, PA-C
235 Greenfield Pkwy,
Liverpool, NY 13088-6651
(315) 452-3376
(518) 479-3794

Map and Direction




Provider's Profile

Full NameJennifer Johansson
GenderFemale
SpecialityPhysician Assistant
Experience14 Years
Location235 Greenfield Pkwy, Liverpool, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jennifer Johansson attended and graduated from University Of South Alabama College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1578816856
  • Provider Enumeration Date: 10/23/2012
  • Last Update Date: 11/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183879042
  • Enrollment ID: I20130226000037

Medical Identifiers

Medical identifiers for Jennifer Johansson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578816856NPI-NPPES
BA0876OtherNYMEDICARE PTAN
AA0422OtherNYMEDICARE PTAN
W34181OtherNYMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 016039 (New York)Primary
207N00000XDermatology 016039 (New York)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Oswego HospitalOswego, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Housel Dermatology Pc47898235434

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. Jennifer Johansson allows following entities to bill medicare on her behalf.
Entity NameSaratoga Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033371166
PECOS PAC ID: 6406740273
Enrollment ID: O20040402000837
Entity NameHousel Dermatology PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437597283
PECOS PAC ID: 4789823543
Enrollment ID: O20130627000132

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. Jennifer Johansson 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
Jennifer Johansson, PA-C
235 Greenfield Pkwy,
Liverpool, NY 13088-6651

Ph: (315) 452-3376		Jennifer Johansson, PA-C
235 Greenfield Pkwy,
Liverpool, NY 13088-6651

Ph: (315) 452-3376

Reviews and Comments


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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.