Ms Alicia Ann Johnson, PA-C in Bloomingdale, IL

Ms Alicia Ann Johnson, PA-C is a medicare enrolled "Physician Assistant" in Bloomingdale, Illinois. Her current practice location is 121 Fairfield Way Ste 207, Ste 207, Bloomingdale, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 529-7427.

Ms Alicia Ann Johnson is licensed to practice in North Carolina (license number 102729) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1629020672.

Contact Information

	Ms Alicia Ann Johnson, PA-C
	121 Fairfield Way Ste 207, Ste 207, Bloomingdale, IL 60108-1559
	(630) 529-7427
	(630) 529-9937

Map and Direction

Provider's Profile

Full Name	Ms Alicia Ann Johnson
Gender	Female
Speciality	Physician Assistant
Location	121 Fairfield Way Ste 207, Bloomingdale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629020672
Provider Enumeration Date: 05/17/2006
Last Update Date: 05/09/2016

Medicare PECOS Information:

PECOS PAC ID: 4183722531
Enrollment ID: I20100720000160

Medical Identifiers

Medical identifiers for Ms Alicia Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629020672	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	102729 (North Carolina)	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. Ms Alicia Ann 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
Ms Alicia Ann Johnson, PA-C 7854 S Sth Shr Dr Apt 508, Chicago, IL 60649-5374 Ph: (312) 498-6834	Ms Alicia Ann Johnson, PA-C 121 Fairfield Way Ste 207, Ste 207, Bloomingdale, IL 60108-1559 Ph: (630) 529-7427

Reviews and Comments

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Ms Alicia Ann Johnson, PA-C - Medicare Physician Assistant in Bloomingdale, IL