Ms Victoria Adrienne Johnson, PA - Medicare Physician Assistant in Saint Louis, MO

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Ms Victoria Adrienne Johnson, PA is a medicare enrolled "Physician Assistant" in Saint Louis, Missouri. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Ssm Medical Group Inc and her current practice location is 11133 Dunn Rd, Saint Louis, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 747-3581.

Ms Victoria Adrienne Johnson is licensed to practice in Missouri (license number 2016028639) 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 1730631607.

Contact Information

Ms Victoria Adrienne Johnson, PA
11133 Dunn Rd,
Saint Louis, MO 63136-6163
(314) 747-3581
(314) 747-1710

Map and Direction




Provider's Profile

Full NameMs Victoria Adrienne Johnson
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location11133 Dunn Rd, Saint Louis, Missouri
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:
  • Ms Victoria Adrienne Johnson graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1730631607
  • Provider Enumeration Date: 10/26/2016
  • Last Update Date: 08/16/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759664782
  • Enrollment ID: I20170216001920

Medical Identifiers

Medical identifiers for Ms Victoria Adrienne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730631607NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 2016028639 (Missouri)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ssm Health St Mary's Hospital - St LouisRichmond heights, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ssm Medical Group Inc6608776299565

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. Ms Victoria Adrienne Johnson allows following entities to bill medicare on her behalf.
Entity NameWashington University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528005642
PECOS PAC ID: 9830008770
Enrollment ID: O20040129000651
Entity NameSSM Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700966207
PECOS PAC ID: 6608776299
Enrollment ID: O20040729001034
Entity NameSoutheastern Physician Services PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083835441
PECOS PAC ID: 0042307852
Enrollment ID: O20160809000235

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 Victoria Adrienne 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
Ms Victoria Adrienne Johnson, PA
1035 Bellevue Ave Ste 500,
Richmond Heights, MO 63117-1843

Ph: (314) 925-4773		Ms Victoria Adrienne Johnson, PA
11133 Dunn Rd,
Saint Louis, MO 63136-6163

Ph: (314) 747-3581

Reviews and Comments


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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.