Cierra D Johnson, PA-C is a medicare enrolled "Physician Assistant" in Crestwood, Illinois. Her current practice location is
13448 Cicero Ave, Crestwood, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 682-3384.
Cierra D Johnson is licensed to practice in * (Not Available) (license number ) 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 1114550308.
Provider's Profile
Full Name | Cierra D Johnson |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 13448 Cicero Ave, Crestwood, Illinois |
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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: 1114550308
- Provider Enumeration Date: 02/17/2020
- Last Update Date: 10/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901274679
- Enrollment ID: I20221130002431
Medical Identifiers
Medical identifiers for Cierra D Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114550308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | (* (Not Available)) | 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. Cierra 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 |
Cierra D Johnson, PA-C 13448 Cicero Ave, Crestwood, IL 60418-1430 Ph: (708) 682-3384 | Cierra D Johnson, PA-C 13448 Cicero Ave, Crestwood, IL 60418-1430 Ph: (708) 682-3384 |
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