Mr David Shane Johnson, PA-C - Medicare Physician Assistant in Magee, MS

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Mr David Shane Johnson, PA-C is a medicare enrolled "Physician Assistant" in Magee, Mississippi. He graduated from nursing school in 2001 and has 25 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Magee Benevolent Association, Covington County Hospital and his current practice location is 376a Simpson Highway 149, Magee, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 849-1475.

Mr David Shane Johnson is licensed to practice in Mississippi (license number PA024) 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 1962619932.

Contact Information

Mr David Shane Johnson, PA-C
376a Simpson Highway 149,
Magee, MS 39111-3409
(601) 849-1475
(601) 849-1549

Map and Direction




Provider's Profile

Full NameMr David Shane Johnson
GenderMale
SpecialityPhysician Assistant
Experience25 Years
Location376a Simpson Highway 149, Magee, Mississippi
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 David Shane Johnson graduated from nursing school in 2001
  NPI Data:
  • NPI Number: 1962619932
  • Provider Enumeration Date: 05/17/2007
  • Last Update Date: 12/23/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9436115292
  • Enrollment ID: I20041203000641

Medical Identifiers

Medical identifiers for Mr David Shane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1962619932NPI-NPPES
00125918MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA024 (Mississippi)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sta Home Health Agency Of Jackson, Inc. Dba Accentcare Home Health Of JacksonClinton, MSHome health agency
Covington County Hospital CahCollins, MSHospital
Magee General HospitalMagee, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Magee Benevolent Association367846646319
Covington County Hospital418351725344

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 David Shane Johnson allows following entities to bill medicare on his behalf.
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518260330
PECOS PAC ID: 4183517253
Enrollment ID: O20040203000816
Entity NameMagee Benevolent Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225157258
PECOS PAC ID: 3678466463
Enrollment ID: O20040205000400
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598769044
PECOS PAC ID: 4183517253
Enrollment ID: O20080722000557
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1134435498
PECOS PAC ID: 4183517253
Enrollment ID: O20110413000929
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336447861
PECOS PAC ID: 4183517253
Enrollment ID: O20110519000619
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750895611
PECOS PAC ID: 4183517253
Enrollment ID: O20190517001731
Entity NameCovington County Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306460282
PECOS PAC ID: 4183517253
Enrollment ID: O20201103000549

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 David Shane 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 David Shane Johnson, PA-C
Po Box 769,
Magee, MS 39111-0769

Ph: (601) 849-1475		Mr David Shane Johnson, PA-C
376a Simpson Highway 149,
Magee, MS 39111-3409

Ph: (601) 849-1475

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.