Ms Daly Anne Johnson, PA-C is a medicare enrolled "Physician Assistant - Surgical" physician in Portland, Maine. Her current practice location is
22 Bramhall St, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 662-0111.
Ms Daly Anne Johnson is licensed to practice in Maine (license number PA2364) 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 1104553247.
Physician's Profile
Full Name | Ms Daly Anne Johnson |
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Gender | Female |
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Speciality | Physician Assistant - Surgical |
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Location | 22 Bramhall St, Portland, Maine |
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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: 1104553247
- Provider Enumeration Date: 08/08/2022
- Last Update Date: 04/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 9335515675
- Enrollment ID: I20221012000707
Medical Identifiers
Medical identifiers for Ms Daly Anne Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104553247 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0127X | Surgery - Trauma Surgery | PA2364 (Maine) | Secondary |
363AS0400X | Physician Assistant - Surgical | PA2364 (Maine) | 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. Ms Daly Anne 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 |
Ms Daly Anne Johnson, PA-C 34 Brentwood St Apt 3, Portland, ME 04103-2542 Ph: (610) 297-5476 | Ms Daly Anne Johnson, PA-C 22 Bramhall St, Portland, ME 04102-3175 Ph: (207) 662-0111 |
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