Mr Patrick Alan Johnson, RD, PA-C in Gaylord, MI

Mr Patrick Alan Johnson, RD, PA-C is a medicare enrolled "Physician Assistant" in Gaylord, Michigan. His current practice location is 825 N Center Ave, Gaylord, Michigan. You can reach out to his office (for appointments etc.) via phone at (989) 731-2100.

Mr Patrick Alan Johnson is licensed to practice in Michigan (license number 5601012837) 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 1225380629.

Contact Information

	Mr Patrick Alan Johnson, RD, PA-C
	825 N Center Ave, Gaylord, MI 49735-1592
	(989) 731-2100
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Patrick Alan Johnson
Gender	Male
Speciality	Physician Assistant
Location	825 N Center Ave, Gaylord, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225380629
Provider Enumeration Date: 10/09/2012
Last Update Date: 05/19/2025

Medicare PECOS Information:

PECOS PAC ID: 9638688898
Enrollment ID: I20250530002358

Medical Identifiers

Medical identifiers for Mr Patrick Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225380629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	5601012837 (Michigan)	Primary
133VN1006X	Dietitian, Registered - Nutrition, Metabolic	DI60312524 (Washington)	Secondary

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 Patrick Alan 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
Mr Patrick Alan Johnson, RD, PA-C 825 N Center Ave, Gaylord, MI 49735-1592 Ph: () -	Mr Patrick Alan Johnson, RD, PA-C 825 N Center Ave, Gaylord, MI 49735-1592 Ph: (989) 731-2100

Reviews and Comments

Physician Assistant Nurses in Gaylord, MI

Mr. Dominic Jerome Giallombardo, MT(ASCP), RN, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 652 N Otsego Ave, Gaylord, MI 49735 Phone: 989-732-3529 Fax: 989-732-7865
Evan Steven Gravedoni, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1320 M-32, Gaylord, MI 49735 Phone: 989-731-5092 Fax: 989-705-8323
Brittanie Hamlin, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 829 N Center Ave, Gaylord, MI 49735 Phone: 989-731-7708 Fax: 989-731-7929
Christopher David Blanchet, Physician Assistant Medicare: Medicare Enrolled Practice Location: 994 N Center Ave, Gaylord, MI 49735 Phone: 989-732-7843 Fax: 989-731-4513
John Matthew Lawrence, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 829 N Center Ave, Suite 210, Gaylord, MI 49735 Phone: 989-731-7860 Fax: 989-731-7833
Caila Carolyn Kippe, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2147 Professional Dr, Gaylord, MI 49735 Phone: 989-732-1753

Mr Patrick Alan Johnson, RD, PA-C - Medicare Physician Assistant in Gaylord, MI