Mrs Shannon Lee Johnson, PA-C - Medicare Physician Assistant in Davenport, IA

Mrs Shannon Lee Johnson, PA-C is a medicare enrolled "Physician Assistant" in Davenport, Iowa. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Genesis Health System and her current practice location is 1228 E Rusholme St, Mob 1, Suite 3020, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 421-7540.

Mrs Shannon Lee Johnson is licensed to practice in Iowa (license number 002328) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750566790.

Contact Information

Mrs Shannon Lee Johnson, PA-C
1228 E Rusholme St, Mob 1, Suite 3020,
Davenport, IA 52803
(563) 421-7540
(563) 421-7549

Map and Direction




Provider's Profile

Full NameMrs Shannon Lee Johnson
GenderFemale
SpecialityPhysician Assistant
Experience17 Years
Location1228 E Rusholme St, Davenport, Iowa
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Shannon Lee Johnson graduated from nursing school in 2007
  NPI Data:
  • NPI Number: 1750566790
  • Provider Enumeration Date: 01/09/2008
  • Last Update Date: 10/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6608940135
  • Enrollment ID: I20130321000621

Medical Identifiers

Medical identifiers for Mrs Shannon Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750566790NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 085003168 (Illinois)Secondary
363A00000XPhysician Assistant 002328 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Genesis Medical Center-davenportDavenport, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Genesis Health System6103829338186

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. Mrs Shannon Lee 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 AddressPractice Location Address
Mrs Shannon Lee Johnson, PA-C
1228 E Rusholme St, Mob 1, Suite 3020,
Davenport, IA 52803

Ph: (563) 421-7540
Mrs Shannon Lee Johnson, PA-C
1228 E Rusholme St, Mob 1, Suite 3020,
Davenport, IA 52803

Ph: (563) 421-7540

Reviews and Comments


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Practice Location: 1320 W Lombard St, Davenport, IA 52804
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Charles Grant Dennehey,
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Medicare: Medicare Enrolled
Practice Location: 1227 E Rusholme St, Davenport, IA 52803
Phone: 563-421-1000    

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).

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