Larry Dean Johnson, PA - Medicare Physician Assistant in Branson, MO

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Larry Dean Johnson, PA is a medicare enrolled "Physician Assistant" in Branson, Missouri. His current practice location is 525 Branson Landing Blvd, Branson, Missouri. You can reach out to his office (for appointments etc.) via phone at (417) 348-8646.

Larry Dean Johnson is licensed to practice in Missouri (license number 2018044339) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1205970365.

Contact Information

Larry Dean Johnson, PA
525 Branson Landing Blvd,
Branson, MO 65616-2052
(417) 348-8646
(417) 335-7529

Map and Direction




Provider's Profile

Full NameLarry Dean Johnson
GenderMale
SpecialityPhysician Assistant
Location525 Branson Landing Blvd, Branson, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205970365
  • Provider Enumeration Date: 02/20/2007
  • Last Update Date: 05/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759361074
  • Enrollment ID: I20050228000538

Medical Identifiers

Medical identifiers for Larry Dean Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205970365NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA-263 (Arkansas)Secondary
363A00000XPhysician Assistant 2018044339 (Missouri)Primary

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. Larry Dean Johnson allows following entities to bill medicare on his behalf.
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538334396
PECOS PAC ID: 1254248917
Enrollment ID: O20050624000293
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447324660
PECOS PAC ID: 5799787784
Enrollment ID: O20070206000541
Entity NameLester E Cox Medical Centers
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669923884
PECOS PAC ID: 1254248917
Enrollment ID: O20161206000652
Entity NameCox-monett Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205387289
PECOS PAC ID: 0345236667
Enrollment ID: O20161213002029
Entity NameSkaggs Community Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255870853
PECOS PAC ID: 5092624320
Enrollment ID: O20170310001975

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. Larry Dean 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 AddressPractice Location Address
Larry Dean Johnson, PA
Po Box 802843,
Kansas City, MO 64180-2843

Ph: (417) 269-7241		Larry Dean Johnson, PA
525 Branson Landing Blvd,
Branson, MO 65616-2052

Ph: (417) 348-8646

Reviews and Comments


Physician Assistant Nurses in Branson, MO

Kenzie Alexus Wolfe, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 525 Branson Landing Blvd, Branson, MO 65616
Phone: 417-335-7000    
Elyse Verdeyen, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 110 Business Park Dr Ste C, Branson, MO 65616
Phone: 417-336-0033    Fax: 855-710-6552
Denise Lynn Anderson,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 121 Cahill Rd, Branson, MO 65616
Phone: 417-348-8100    
Mrs. Kai Lea Stancer, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 890 Hwy 248, Branson, MO 65616
Phone: 417-335-2299    
Mandolin Smith, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 525 Branson Landing Blvd, Branson, MO 65616
Phone: 417-335-7218    
Jay Weston Scott, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 448 State Highway 248, Branson, MO 65616
Phone: 620-794-1139    
Ryan D Toliver, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 545 Branson Landing Blvd, Ste 306, Branson, MO 65616
Phone: 417-336-9728    Fax: 417-337-9710

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.