Mr Tyler K Johnson, PA-C in Excelsior, MN - Medicare Physician Assistant

Mr Tyler K Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Excelsior, Minnesota. He went to University Of South Alabama College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ridgeview Medical Center and his current practice location is 675 Water St, Excelsior, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 906-7855.

Mr Tyler K Johnson is licensed to practice in Illinois (license number 085005949) 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 1003362914.

Contact Information

	Mr Tyler K Johnson, PA-C
	675 Water St, Excelsior, MN 55331-3072
	(952) 906-7855
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Tyler K Johnson
Gender	Male
Speciality	Physician Assistant
Experience	8 Years
Location	675 Water St, Excelsior, Minnesota
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 Tyler K Johnson attended and graduated from University Of South Alabama College Of Medicine in 2016

NPI Data:

NPI Number: 1003362914
Provider Enumeration Date: 08/31/2016
Last Update Date: 05/07/2019

Medicare PECOS Information:

PECOS PAC ID: 2668734369
Enrollment ID: I20190315001844

Medical Identifiers

Medical identifiers for Mr Tyler K Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003362914	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	085005949 (Illinois)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ridgeview Medical Center	Waconia, MN	Hospital
Park Nicollet Methodist Hospital	Saint louis park, MN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ridgeview Medical Center	9234041997	193

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 Tyler K 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 Tyler K Johnson, PA-C 676 N Saint Clair St, Suite 1600, Chicago, IL 60611-2927 Ph: () -	Mr Tyler K Johnson, PA-C 675 Water St, Excelsior, MN 55331-3072 Ph: (952) 906-7855

Reviews and Comments

Physician Assistant Nurses in Excelsior, MN

Gina Orourke Peschel, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 675 Water St, Excelsior, MN 55331 Phone: 952-906-7855 Fax: 952-470-4523
Elizabeth N Boyum, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 23505 Smithtown Rd Ste 120, Excelsior, MN 55331 Phone: 612-486-4200

Mr Tyler K Johnson, PA-C - Medicare Physician Assistant in Excelsior, MN