Olivia Rae Johnson, PA-C is a medicare enrolled "Physician Assistant" provider in Iowa City, Iowa. Her current practice location is
200 Hawkins Dr, Iowa City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 356-2223.
Olivia Rae Johnson is licensed to practice in Iowa (license number 118136) 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 1760835698.
Healthcare Provider's Profile
Full Name | Olivia Rae Johnson |
---|
Gender | Female |
---|
Speciality | Physician Assistant |
---|
Location | 200 Hawkins Dr, Iowa City, Iowa |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760835698
- Provider Enumeration Date: 07/15/2016
- Last Update Date: 04/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557737418
- Enrollment ID: I20221018000520
Medical Identifiers
Medical identifiers for Olivia Rae Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760835698 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | (* (Not Available)) | Secondary |
363A00000X | Physician Assistant | (Wisconsin) | Secondary |
363A00000X | Physician Assistant | 118136 (Iowa) | 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. Olivia Rae 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 Address | Practice Location Address |
Olivia Rae Johnson, PA-C 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2223 | Olivia Rae Johnson, PA-C 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 356-2223 |
Reviews and Comments