Timothy W Johnson, PA - Medicare Physician Assistant in Avon, IN

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Timothy W Johnson, PA is a medicare enrolled "Physician Assistant" in Avon, Indiana. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Carle Health Care Incorporated and his current practice location is 1111 Ronald Reagan Pkwy, Avon, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 472-7317.

Timothy W Johnson is licensed to practice in Indiana (license number 10001198) 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 1033425145.

Contact Information

Timothy W Johnson, PA
1111 Ronald Reagan Pkwy,
Avon, IN 46123-7085
(317) 472-7317
(317) 870-0499

Map and Direction




Provider's Profile

Full NameTimothy W Johnson
GenderMale
SpecialityPhysician Assistant
Experience16 Years
Location1111 Ronald Reagan Pkwy, Avon, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Timothy W Johnson graduated from nursing school in 2010
  NPI Data:
  • NPI Number: 1033425145
  • Provider Enumeration Date: 08/26/2010
  • Last Update Date: 08/26/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 4789876194
  • Enrollment ID: I20120201000153

Medical Identifiers

Medical identifiers for Timothy W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033425145NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 10001198 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Mary Medical CenterGalesburg, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carle Health Care Incorporated35775157741592

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. Timothy W Johnson allows following entities to bill medicare on his behalf.
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982656575
PECOS PAC ID: 1355259714
Enrollment ID: O20031126000494
Entity NameMethodist Medical Center of Illinois
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184670663
PECOS PAC ID: 1355259714
Enrollment ID: O20040315000196
Entity NameCarle Health Care Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154653947
PECOS PAC ID: 3577515774
Enrollment ID: O20100513000829

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. Timothy W 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
Timothy W Johnson, PA
5446 Reliable Pkwy,
Chicago, IL 60686-0001

Ph: (317) 472-7317		Timothy W Johnson, PA
1111 Ronald Reagan Pkwy,
Avon, IN 46123-7085

Ph: (317) 472-7317

Reviews and Comments


Physician Assistant Nurses in Avon, IN

Kimberly Keyes Barrett, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123
Phone: 317-217-3000    
Kolbie Sara Mason, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123
Phone: 317-962-6300    Fax: 317-962-2346
Alexandra Miller, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 7388 Business Center Dr, Avon, IN 46123
Phone: 888-938-3838    Fax: 888-919-1083
Adam Jones, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123
Phone: 317-217-3000    
Ms. Jennifer Elaine Davis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1111 Ronald Reagan Pkwy, Avon, IN 46123
Phone: 317-217-3000    Fax: 317-963-5492
Morgan Wade Hughes, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1115 Ronald Reagan Pkwy Ste 141, Avon, IN 46123
Phone: 317-217-2300    
Lauren Olivia Le,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1115 N Ronald Reagan Pkwy Ste 254, Avon, IN 46123
Phone: 317-944-6467    Fax: 317-963-7085

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.