Johnson N Mwangi, PA-C - Medicare Physician Assistant in Tyler, TX

Johnson N Mwangi, PA-C is a medicare enrolled "Physician Assistant" in Tyler, Texas. He graduated from nursing school in 2013 and has 13 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Epiphany Dermatology Pa, Epiphany Dermatology Of Oklahoma Llc and his current practice location is 1720 S Beckham Ave Ste 102, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 618-2125.

Johnson N Mwangi is licensed to practice in Texas (license number PA011035) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578748505.

Contact Information

Johnson N Mwangi, PA-C
1720 S Beckham Ave Ste 102,
Tyler, TX 75701-4437
(903) 618-2125
Not Available

Map and Direction




Provider's Profile

Full NameJohnson N Mwangi
GenderMale
SpecialityPhysician Assistant
Experience13 Years
Location1720 S Beckham Ave Ste 102, Tyler, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Johnson N Mwangi graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1578748505
  • Provider Enumeration Date: 01/09/2008
  • Last Update Date: 02/03/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6608185103
  • Enrollment ID: I20170510002290

Medical Identifiers

Medical identifiers for Johnson N Mwangi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578748505NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA011035 (Texas)Secondary
363A00000XPhysician Assistant PA011035 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Epiphany Dermatology Pa3971827791106
Epiphany Dermatology Of Oklahoma Llc55970429035

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. Johnson N Mwangi allows following entities to bill medicare on his behalf.
Entity NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Regional Health Care Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679578439
PECOS PAC ID: 9234025636
Enrollment ID: O20040610001042
Entity NameAcs Primary Care Physicians Southwest PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538101019
PECOS PAC ID: 1850204363
Enrollment ID: O20041206000027
Entity NameOliver Street 5.01(a) Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457695413
PECOS PAC ID: 0042464125
Enrollment ID: O20130128000189
Entity NameEpiphany Dermatology PA
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043615263
PECOS PAC ID: 3971827791
Enrollment ID: O20150126001498
Entity NameCec Lakeway Urgent Care Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285088161
PECOS PAC ID: 8123318169
Enrollment ID: O20160603001598
Entity NameUT East Texas Urgent Care Centers, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356974281
PECOS PAC ID: 7517385388
Enrollment ID: O20200910000672

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. Johnson N Mwangi 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
Johnson N Mwangi, PA-C
5310 Harvest Hill Rd Ste 290,
Dallas, TX 75230-5826

Ph: (214) 420-0650
Johnson N Mwangi, PA-C
1720 S Beckham Ave Ste 102,
Tyler, TX 75701-4437

Ph: (903) 618-2125

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.