Alysia Johansson, PA-C, RD, CNSC is a medicare enrolled "Physician Assistant" provider in New York, New York. Her current practice location is
525 E 68th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at
(212) 746-5454.
Alysia Johansson is licensed to practice in New York (license number ) 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 1326312851.
Healthcare Provider's Profile
Full Name | Alysia Johansson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 525 E 68th St, New York, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326312851
- Provider Enumeration Date: 03/01/2012
- Last Update Date: 09/10/2018
Medicare PECOS Information:
- PECOS PAC ID: 2163807991
- Enrollment ID: I20220915001037
Medical Identifiers
Medical identifiers for Alysia Johansson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326312851 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 1004173 (New Jersey) | Secondary |
363A00000X | Physician Assistant | (New York) | 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. Alysia Johansson 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 |
Alysia Johansson, PA-C, RD, CNSC 525 E 68th St, New York, NY 10065-4870 Ph: () - | Alysia Johansson, PA-C, RD, CNSC 525 E 68th St, New York, NY 10065-4870 Ph: (212) 746-5454 |
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