Jennifer Johnson, PA-C is a medicare enrolled "Physician Assistant" in Flagler Beach, Florida. Her current practice location is
1244 S Ocean Shore Blvd, Flagler Beach, Florida. You can reach out to her office (for appointments etc.) via phone at
(315) 586-2336.
Jennifer Johnson is licensed to practice in Florida (license number PA9109697) 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 1407300460.
Provider's Profile
| Full Name | Jennifer Johnson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1244 S Ocean Shore Blvd, Flagler Beach, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407300460
- Provider Enumeration Date: 08/08/2016
- Last Update Date: 09/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557658861
- Enrollment ID: I20160929000964
Medical Identifiers
Medical identifiers for Jennifer Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407300460 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA9109697 (Florida) | 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. Jennifer 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 |
Jennifer Johnson, PA-C 1244 S Ocean Shore Blvd, Flagler Beach, FL 32136-3703 Ph: () - | Jennifer Johnson, PA-C 1244 S Ocean Shore Blvd, Flagler Beach, FL 32136-3703 Ph: (315) 586-2336 |
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