Carla D Johnson, PA in Leesburg, GA - Medicare Physician Assistant

Carla D Johnson, PA is a medicare enrolled "Physician Assistant" in Leesburg, Georgia. Her current practice location is 101 Oakland Crossing Dr, Leesburg, Georgia. You can reach out to her office (for appointments etc.) via phone at (229) 888-4093.

Carla D Johnson is licensed to practice in Georgia (license number 002753) 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 1578626412.

Contact Information

	Carla D Johnson, PA
	101 Oakland Crossing Dr, Leesburg, GA 31763-7228
	(229) 888-4093
	(229) 888-4098

Map and Direction

Provider's Profile

Full Name	Carla D Johnson
Gender	Female
Speciality	Physician Assistant
Location	101 Oakland Crossing Dr, Leesburg, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578626412
Provider Enumeration Date: 12/19/2006
Last Update Date: 04/06/2016

Medicare PECOS Information:

PECOS PAC ID: 8921175514
Enrollment ID: I20080924000023

Medical Identifiers

Medical identifiers for Carla D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578626412	NPI	-	NPPES
00600003C	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	002753 (Georgia)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carla D Johnson allows following entities to bill medicare on her behalf.

Entity Name	Fasttrack Immediate Care Of Albany
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235532284 PECOS PAC ID: 1254659675 Enrollment ID: O20150415002318

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. Carla D 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
Carla D Johnson, PA 101 Oakland Crossing Dr, Leesburg, GA 31763-7228 Ph: (229) 888-4093	Carla D Johnson, PA 101 Oakland Crossing Dr, Leesburg, GA 31763-7228 Ph: (229) 888-4093

Reviews and Comments

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Carla D Johnson, PA - Medicare Physician Assistant in Leesburg, GA