Jade Taylir Johnson, ATC is a
Preventive Medicine - Sports Medicine physician based in Wayne, Nebraska. Jade Taylir Johnson is licensed to practice in Nebraska (license number 777) and her current practice location is 1111 Main St, Wayne, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 375-7162.
NPI number for Jade Taylir Johnson is 1073083457 and her current mailing address is 521 E 6th St, Wayne, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073083457.
Physician's Profile
Full Name | Jade Taylir Johnson |
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Gender | Female |
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Speciality | Preventive Medicine - Sports Medicine |
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Location | 1111 Main St, Wayne, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1073083457
- Provider Enumeration Date: 11/28/2018
- Last Update Date: 11/28/2018
Medical Identifiers
Medical identifiers for Jade Taylir Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073083457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 777 (Nebraska) | Secondary |
2083S0010X | Preventive Medicine - Sports Medicine | 777 (Nebraska) | 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. Jade Taylir Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jade Taylir Johnson, ATC 521 E 6th St, Wayne, NE 68787-2210 Ph: (715) 566-3288 | Jade Taylir Johnson, ATC 1111 Main St, Wayne, NE 68787-1181 Ph: (402) 375-7162 |
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