Tairy Adams Johnson, PA-C - Medicare Physician Assistant in Woodbridge, VA

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Tairy Adams Johnson, PA-C is a medicare enrolled "Physician Assistant" in Woodbridge, Virginia. Her current practice location is 2300 Opitz Blvd, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 523-1504.

Tairy Adams Johnson is licensed to practice in Virginia (license number 0110001991) 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 1063468890.

Contact Information

Tairy Adams Johnson, PA-C
2300 Opitz Blvd,
Woodbridge, VA 22191-3311
(703) 523-1504
Not Available

Map and Direction




Provider's Profile

Full NameTairy Adams Johnson
GenderFemale
SpecialityPhysician Assistant
Location2300 Opitz Blvd, Woodbridge, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063468890
  • Provider Enumeration Date: 05/25/2006
  • Last Update Date: 08/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6901858349
  • Enrollment ID: I20050215000095

Medical Identifiers

Medical identifiers for Tairy Adams Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063468890NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 0110001991 (Virginia)Secondary
363A00000XPhysician Assistant 0110001991 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tairy Adams Johnson allows following entities to bill medicare on her behalf.
Entity NameEmergency Coverage LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050418000414
Entity NameEmergency Coverage Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053351593
PECOS PAC ID: 8820983430
Enrollment ID: O20061003000679

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. Tairy Adams 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
Tairy Adams Johnson, PA-C
2300 Opitz Blvd,
Woodbridge, VA 22191-3311

Ph: (703) 523-1504		Tairy Adams Johnson, PA-C
2300 Opitz Blvd,
Woodbridge, VA 22191-3311

Ph: (703) 523-1504

Reviews and Comments


Physician Assistant Nurses in Woodbridge, VA

Christopher Rowley, PA-C
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Phone: 703-490-1112    Fax: 703-878-8732
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Alexa Roberge, PA-C
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Phone: 703-492-4140    
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Phone: 703-499-8787    

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.