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

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Mr Patrick Alan Johnson, RD, PA-C is a medicare enrolled "Physician Assistant" in Gaylord, Michigan. He went to University Of Washington School Of Medicine and graduated in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice North Michigan Physician Services Pc, Otsego Physician Services Pc and 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 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 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 NameMr Patrick Alan Johnson
GenderMale
SpecialityPhysician Assistant
Experience2 Years
Location825 N Center Ave, Gaylord, Michigan
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 Patrick Alan Johnson attended and graduated from University Of Washington School Of Medicine in 2024
  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.
IdentifierTypeStateIssuer
1225380629NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601012837 (Michigan)Primary
133VN1006XDietitian, Registered - Nutrition, Metabolic DI60312524 (Washington)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Munson Healthcare Otsego Memorial HospitalGaylord, MIHospital
Munson Healthcare Grayling HospitalGrayling, MIHospital
Kalkaska Memorial Health CenterKalkaska, MIHospital
Munson Healthcare Charlevoix HospitalCharlevoix, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
North Michigan Physician Services Pc014373067166
Otsego Physician Services Pc741646895435

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 Patrick Alan Johnson allows following entities to bill medicare on his behalf.
Entity NameSound Inpatient Physicians-michigan PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093967861
PECOS PAC ID: 5395896849
Enrollment ID: O20090624000252
Entity NameNorth Michigan Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972314821
PECOS PAC ID: 0143730671
Enrollment ID: O20250612000995
Entity NameOtsego Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346054236
PECOS PAC ID: 7416468954
Enrollment ID: O20250612003316

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 AddressPractice Location Address
Mr Patrick Alan Johnson, RD, PA-C
825 N Center Ave,
Gaylord, MI 49735-1592

Ph: Not Available		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: Not Enrolled in Medicare
Practice Location: 652 N Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3529    Fax: 989-732-7865
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,
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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    
Kellie Lea Mumford, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2147 Professional Dr, Gaylord, MI 49735
Phone: 989-732-1753    Fax: 989-731-1425
Elizabeth Marie Dickinson, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1320 E M 32, Gaylord, MI 49735
Phone: 198-973-1509    
Adam Derek-alan Moffatt, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1951 S Otsego Ave, Gaylord, MI 49735
Phone: 989-732-3284    Fax: 989-732-6395

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.