| Mr Scott Roger Johnson, PA-C | |
|
51600 Huntington Rd, La Pine, OR 97739-8887 | |
| (541) 536-3435 | |
| Not Available |
| Full Name | Mr Scott Roger Johnson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 51600 Huntington Rd, La Pine, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275719650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 00826 (Oregon) | Primary |
| Entity Name | Samaritan Pacific Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174888010 PECOS PAC ID: 2466353529 Enrollment ID: O20040204000304 |
| Entity Name | Icco LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407004757 PECOS PAC ID: 1355406729 Enrollment ID: O20090218000510 |
| Entity Name | Emurgent Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1265871123 PECOS PAC ID: 9830325075 Enrollment ID: O20131119000265 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Scott Roger Johnson, PA-C Po Box 3300, La Pine, OR 97739-3300 Ph: (541) 536-3435 | Mr Scott Roger Johnson, PA-C 51600 Huntington Rd, La Pine, OR 97739-8887 Ph: (541) 536-3435 |
Zoe Pearlman, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd Ste 101, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |
Sarah Danielle Sperry, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |
Tyson Lee Langeliers, PA -C, ATC, LAT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 |
Mrs. Rebecca M Brewer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 51600 Huntington Rd, La Pine, OR 97739 Phone: 541-536-3435 Fax: 541-536-8047 |