Mr Robert Johansen, PA-C in Omak, WA - Medicare Physician Assistant

Mr Robert Johansen, PA-C is a medicare enrolled "Physician Assistant" in Omak, Washington. He graduated from nursing school in 2011 and has 14 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Yakima Valley Memorial Physicians and his current practice location is 529 Jasmine St, Omak, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 826-1600.

Mr Robert Johansen is licensed to practice in Washington (license number PA60248541) 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 1639452618.

Contact Information

	Mr Robert Johansen, PA-C
	529 Jasmine St, Omak, WA 98841-9589
	(509) 826-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Robert Johansen
Gender	Male
Speciality	Physician Assistant
Experience	14 Years
Location	529 Jasmine St, Omak, Washington
Accepts Medicare Assignments	Yes. 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 Robert Johansen graduated from nursing school in 2011

NPI Data:

NPI Number: 1639452618
Provider Enumeration Date: 09/26/2011
Last Update Date: 09/10/2015

Medicare PECOS Information:

PECOS PAC ID: 3274705561
Enrollment ID: I20111010000467

Medical Identifiers

Medical identifiers for Mr Robert Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639452618	NPI	-	NPPES
1639452618	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA60248541 (Washington)	Secondary
363A00000X	Physician Assistant	PA60248541 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Virginia Mason Memorial	Yakima, WA	Hospital
Summit Pacific Medical Center-swing Bed Unit	Elma, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yakima Valley Memorial Physicians	1557391596	285

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 Robert Johansen 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 Robert Johansen, PA-C 529 Jasmine St, Omak, WA 98841-9589 Ph: (509) 826-1600	Mr Robert Johansen, PA-C 529 Jasmine St, Omak, WA 98841-9589 Ph: (509) 826-1600

Reviews and Comments

Physician Assistant Nurses in Omak, WA

Christie Rose Bruno, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 916 Koala Ave, Omak, WA 98841 Phone: 509-826-1800
Mr. Gregory D Fisk, PAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 529 Jasmine St, Omak, WA 98841 Phone: 509-826-1600 Fax: 509-826-3633
Andrew John Conboy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711
Mr. Kerry L Mayhew, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1007 Koala Ave, Omak, WA 98841 Phone: 509-826-8443
Shellie Ann Rabidou, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711
Lisa M Yusi, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711
Ms. Jennifer Frances Buck, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711

Mr Robert Johansen, PA-C - Medicare Physician Assistant in Omak, WA