Ms Nicole A Johnson, PA-C in Carbondale, IL - Medicare Physician Assistant

Ms Nicole A Johnson, PA-C is a medicare enrolled "Physician Assistant" in Carbondale, Illinois. She went to University Of Nebraska College Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice 24 On Physicians Pc and her current practice location is 405 W Jackson St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 549-0721.

Ms Nicole A Johnson is licensed to practice in Illinois (license number 085-002903) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1033250576.

Contact Information

	Ms Nicole A Johnson, PA-C
	405 W Jackson St, Carbondale, IL 62901-1462
	(618) 549-0721
	Not Available

Map and Direction

Provider's Profile

Full Name	Ms Nicole A Johnson
Gender	Female
Speciality	Physician Assistant
Experience	13 Years
Location	405 W Jackson St, Carbondale, Illinois
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Nicole A Johnson attended and graduated from University Of Nebraska College Of Medicine in 2011

NPI Data:

NPI Number: 1033250576
Provider Enumeration Date: 02/09/2007
Last Update Date: 11/09/2021

Medicare PECOS Information:

PECOS PAC ID: 4385714369
Enrollment ID: I20080603000148

Medical Identifiers

Medical identifiers for Ms Nicole A Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033250576	NPI	-	NPPES
085-002903	Other	IL	PA LICENSE NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	036-087287 (Illinois)	Secondary
363A00000X	Physician Assistant	085-002903 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
24 On Physicians Pc	5698688141	250

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. Ms Nicole A 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
Ms Nicole A Johnson, PA-C Po Box 3988, Carbondale, IL 62902-3988 Ph: (618) 457-5200	Ms Nicole A Johnson, PA-C 405 W Jackson St, Carbondale, IL 62901-1462 Ph: (618) 549-0721

Reviews and Comments

Physician Assistant Nurses in Carbondale, IL

Mr. Lukas Ward, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-529-0479
Ms. Britney Nicole Arnold, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469
Joeli Diemer, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-536-6621
Mr. Michael Leroy Matteson, PA C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St, Suite 105, Carbondale, IL 62901 Phone: 618-536-2565 Fax: 618-536-2835
John Howard Davidson, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721 Fax: 618-457-0469
Kilmeny Clark, Physician Assistant Medicare: Medicare Enrolled Practice Location: 300 W Oak St, Carbondale, IL 62901 Phone: 618-453-8850

Ms Nicole A Johnson, PA-C - Medicare Physician Assistant in Carbondale, IL