Mr Rickie E Johnson, PA is a medicare enrolled "Physician Assistant" in Hill Air Force Base, Utah. His current practice location is
7238 6th St Bldg 249, Hill Air Force Base, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 777-1155.
Mr Rickie E Johnson is licensed to practice in Louisiana (license number A10226) 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 1982681292.
Provider's Profile
| Full Name | Mr Rickie E Johnson |
|---|
| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 7238 6th St Bldg 249, Hill Air Force Base, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1982681292
- Provider Enumeration Date: 12/28/2005
- Last Update Date: 04/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436165206
- Enrollment ID: I20060303000164
Medical Identifiers
Medical identifiers for Mr Rickie E Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982681292 | NPI | - | NPPES |
| 1627755 | Medicaid | LA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | A10226 (Louisiana) | Primary |
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 Rickie E 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 Rickie E Johnson, PA
500 Broadway Apt C214,
Farmington, UT 84025-5657
Ph: (337) 278-8826 | Mr Rickie E Johnson, PA
7238 6th St Bldg 249,
Hill Air Force Base, UT 84056-5213
Ph: (801) 777-1155 |
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