Latasha J Johnson, PA-C is a
Physician Assistant - Medical physician based in Wright Patterson Afb, Ohio. Latasha J Johnson is licensed to practice in California (license number 51405) and her current practice location is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 257-9612.
NPI number for Latasha J Johnson is 1326463639 and her current mailing address is 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1326463639.
Physician's Profile
Full Name | Latasha J Johnson |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326463639
- Provider Enumeration Date: 02/24/2014
- Last Update Date: 07/20/2022
Medical Identifiers
Medical identifiers for Latasha J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326463639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 51405 (California) | Secondary |
363AM0700X | Physician Assistant - Medical | 51405 (California) | 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. Latasha J 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 |
Latasha J Johnson, PA-C 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9612 | Latasha J Johnson, PA-C 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9612 |
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