Russell P Johnson, PA-C is a
Physician Assistant - Medical physician based in Las Vegas, Nevada. Russell P Johnson is licensed to practice in Nevada (license number PA1753) and his current practice location is 7021 Spring Mountain Rd, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 803-2222.
NPI number for Russell P Johnson is 1497712483 and his current mailing address is 7021 Spring Mountain Rd, Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497712483.
Physician's Profile
| Full Name | Russell P Johnson |
|---|
| Gender | Male |
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| Speciality | Physician Assistant - Medical |
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| Location | 7021 Spring Mountain Rd, Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1497712483
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 11/27/2020
Medical Identifiers
Medical identifiers for Russell P Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497712483 | NPI | - | NPPES |
| 1336749811 | Other | NV | GROUP NPI |
| 1497712483 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | MA003569L (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | MA003569L (Pennsylvania) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA1753 (Nevada) | 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. Russell P 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 |
|---|
Russell P Johnson, PA-C
7021 Spring Mountain Rd,
Las Vegas, NV 89117-3818
Ph: (702) 803-2222 | Russell P Johnson, PA-C
7021 Spring Mountain Rd,
Las Vegas, NV 89117-3818
Ph: (702) 803-2222 |
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