Jennifer Johansson, PA-C is a medicare enrolled "Physician Assistant" physician in Liverpool, New York. She went to University Of South Alabama College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Housel Dermatology, P.c. and her current practice location is
235 Greenfield Pkwy, Liverpool, New York. You can reach out to her office (for appointments etc.) via phone at
(315) 452-3376.
Jennifer Johansson is licensed to practice in New York (license number 016039) 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 1578816856.
Physician's Profile
| Full Name | Jennifer Johansson |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 12 Years |
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| Location | 235 Greenfield Pkwy, Liverpool, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jennifer Johansson attended and graduated from University Of South Alabama College Of Medicine in 2012
NPI Data:
- NPI Number: 1578816856
- Provider Enumeration Date: 10/23/2012
- Last Update Date: 11/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183879042
- Enrollment ID: I20130226000037
Medical Identifiers
Medical identifiers for Jennifer Johansson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578816856 | NPI | - | NPPES |
| W34181 | Other | NY | MEDICARE PTAN |
| AA0422 | Other | NY | MEDICARE PTAN |
| BA0876 | Other | NY | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 016039 (New York) | Secondary |
| 363A00000X | Physician Assistant | 016039 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Housel Dermatology, P.c. | 4789823543 | 4 |
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. Jennifer 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 |
|---|
Jennifer Johansson, PA-C
235 Greenfield Pkwy,
Liverpool, NY 13088-6651
Ph: (315) 452-3376 | Jennifer Johansson, PA-C
235 Greenfield Pkwy,
Liverpool, NY 13088-6651
Ph: (315) 452-3376 |
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