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. 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 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 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
Location	529 Jasmine St, Omak, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

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

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

Christine Yvonne Bentley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Ave, Omak, WA 98841 Phone: 509-826-1800
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: Accepting Medicare Assignments 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
Ross Brown, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Ave, Omak, WA 98841 Phone: 509-663-8711
Shellie Ann Rabidou, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 916 Koala Dr, Omak, WA 98841 Phone: 509-663-8711

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