Mr Stephen Archie Johnson, RN, NP,PA is a medicare enrolled "Nurse Practitioner - Family" in Covelo, California. His current practice location is
24065 Biggar Lane, Covelo, California. You can reach out to his office (for appointments etc.) via phone at
(707) 983-6181.
Mr Stephen Archie Johnson is licensed to practice in California (license number 6882) 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 1750363743.
Provider's Profile
| Full Name | Mr Stephen Archie Johnson |
|---|
| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 24065 Biggar Lane, Covelo, California |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Stephen Archie Johnson attended and graduated from in
NPI Data:
- NPI Number: 1750363743
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Stephen Archie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750363743 | NPI | - | NPPES |
| 12229 | Other | CA | PA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 12229 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 320565 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 6882 (California) | 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 Stephen Archie 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 Stephen Archie Johnson, RN, NP,PA
24065 Biggar Lane,
Covelo, CA 95428-0247
Ph: (707) 983-6181 | Mr Stephen Archie Johnson, RN, NP,PA
24065 Biggar Lane,
Covelo, CA 95428-9669
Ph: (707) 983-6181 |
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