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

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Mr Robert Johansen, PA-C is a medicare enrolled "Physician Assistant" in Omak, Washington. He graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Yakima Valley Memorial Physicians, Grays Harbor County Public Hospital District No 1 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 NameMr Robert Johansen
GenderMale
SpecialityPhysician Assistant
Experience15 Years
Location529 Jasmine St, Omak, Washington
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 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.
IdentifierTypeStateIssuer
1639452618NPI-NPPES
1639452618MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA60248541 (Washington)Secondary
363A00000XPhysician Assistant PA60248541 (Washington)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yakima Valley MemorialYakima, WAHospital
Summit Pacific Medical CenterElma, WAHospital
North Valley HospitalTonasket, WAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yakima Valley Memorial Physicians1557391596397
Grays Harbor County Public Hospital District No 1903201725662

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 Robert Johansen allows following entities to bill medicare on his behalf.
Entity NameGrays Harbor County Public Hospital District No 1
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740211028
PECOS PAC ID: 9032017256
Enrollment ID: O20031226000146
Entity NameOkanogan County Public Hospital Dist No 4
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750443834
PECOS PAC ID: 9335051150
Enrollment ID: O20040323000641
Entity NameYakima Valley Memorial Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306933940
PECOS PAC ID: 1557391596
Enrollment ID: O20050818000714

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 AddressPractice 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: Not Enrolled in Medicare
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    
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    

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.