Johnny Michael Jones, PA-C is a
Specialist based in Anacortes, Washington. Johnny Michael Jones is licensed to practice in Washington (license number PA10004470) and his current practice location is
715 Seafarers Way, Ste 201 B, Anacortes, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 588-1460.
NPI number for Johnny Michael Jones is 1174692198 and his current mailing address is Po Box 1048, Anacortes, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174692198.
Provider's Profile
| Full Name | Johnny Michael Jones |
|---|
| Gender | Male |
|---|
| Speciality | Specialist |
|---|
| Location | 715 Seafarers Way, Anacortes, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174692198
- Provider Enumeration Date: 11/06/2006
- Last Update Date: 09/01/2011
Medical Identifiers
Medical identifiers for Johnny Michael Jones such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174692198 | NPI | - | NPPES |
| 277551 | Other | WA | STATE OF WA L & I |
| 1174692198 | Medicaid | WA | |
| 1174822159 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 10004470 (Washington) | Secondary |
| 174400000X | Specialist | PA10004470 (Washington) | 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. Johnny Michael Jones is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Johnny Michael Jones, PA-C
Po Box 1048,
Anacortes, WA 98221-1048
Ph: (360) 588-1460 | Johnny Michael Jones, PA-C
715 Seafarers Way, Ste 201 B,
Anacortes, WA 98221-2257
Ph: (360) 588-1460 |
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