| Johanna C Young, PA-C | |
|
105 Delta Park Dr, Shelby, NC 28150-3575 | |
| (704) 484-0464 | |
| Not Available |
| Full Name | Johanna C Young |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 6 Years |
| Location | 105 Delta Park Dr, Shelby, North Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083239545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-10212 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southern Dermatology Pa | 7012971609 | 52 |
| Entity Name | Southern Dermatology PA |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415586 PECOS PAC ID: 7012971609 Enrollment ID: O20041113000271 |
| Entity Name | Minuteclinic Diagnostic of North Carolina PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699748608 PECOS PAC ID: 6002837572 Enrollment ID: O20051212000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Johanna C Young, PA-C 105 Delta Park Dr, Shelby, NC 28150-3575 Ph: (704) 484-0464 | Johanna C Young, PA-C 105 Delta Park Dr, Shelby, NC 28150-3575 Ph: (704) 484-0464 |
Justen Daniel Wright, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3000 |
Anne Marie Lackey Gordon, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 709 N Dekalb St, Shelby, NC 28150 Phone: 980-487-2100 |
Confidence Paul, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3000 |
Jenna Grace Bridges, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 201 E Grover St, Shelby, NC 28150 Phone: 980-487-3751 |
Ms. Aleigh Rae King, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 101 Delta Park Dr, Shelby, NC 28150 Phone: 704-484-0606 Fax: 704-484-8007 |
Janet Marie Brandon, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 419 Earl Rd, Shelby, NC 28150 Phone: 704-481-0555 |
Caitlin Colleen Hyatt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 W Grover St, Shelby, NC 28150 Phone: 704-487-8591 |