Mr Ben Douglas Johnson, PA-C - Medicare Physician Assistant in Phoenix, OR

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Mr Ben Douglas Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Phoenix, Oregon. He graduated from nursing school in 2002 and has 24 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice G Street Integrated Health and his current practice location is 205 N Phoenix Rd Ste 430, Phoenix, Oregon. You can reach out to his office (for appointments etc.) via phone at (541) 778-4517.

Mr Ben Douglas Johnson is licensed to practice in Oregon (license number PA00825) 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 1720152465.

Contact Information

Mr Ben Douglas Johnson, PA-C
205 N Phoenix Rd Ste 430,
Phoenix, OR 97535-9108
(541) 778-4517
(541) 833-0995

Map and Direction




Provider's Profile

Full NameMr Ben Douglas Johnson
GenderMale
SpecialityPhysician Assistant
Experience24 Years
Location205 N Phoenix Rd Ste 430, Phoenix, Oregon
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:
  • Mr Ben Douglas Johnson graduated from nursing school in 2002
  NPI Data:
  • NPI Number: 1720152465
  • Provider Enumeration Date: 11/17/2006
  • Last Update Date: 02/09/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2567358856
  • Enrollment ID: I20040224000799

Medical Identifiers

Medical identifiers for Mr Ben Douglas Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720152465NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical PA00825 (Oregon)Secondary
363AM0700XPhysician Assistant - Medical PA00825 (Oregon)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
G Street Integrated Health680012614522

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. Mr Ben Douglas Johnson allows following entities to bill medicare on his behalf.
Entity NameIcco LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510
Entity NameG Street Integrated Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730734161
PECOS PAC ID: 6800126145
Enrollment ID: O20190930000321
Entity NameRogue Medical LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265298400
PECOS PAC ID: 4880031079
Enrollment ID: O20240323000221

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. Mr Ben Douglas 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
Mr Ben Douglas Johnson, PA-C
205 N Phoenix Rd Ste 430,
Phoenix, OR 97535-9108

Ph: (541) 778-4517		Mr Ben Douglas Johnson, PA-C
205 N Phoenix Rd Ste 430,
Phoenix, OR 97535-9108

Ph: (541) 778-4517

Reviews and Comments



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.