Colleen Breen Johnson, PA-C in Port Jefferson Station, NY

Colleen Breen Johnson, PA-C is a medicare enrolled "Physician Assistant" in Port Jefferson Station, New York. Her current practice location is 11 Medical Dr, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 509-6066.

Colleen Breen Johnson is licensed to practice in New York (license number 020304-1) 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 1215235429.

Contact Information

	Colleen Breen Johnson, PA-C
	11 Medical Dr, Port Jefferson Station, NY 11776-1589
	(631) 509-6066
	Not Available

Map and Direction

Provider's Profile

Full Name	Colleen Breen Johnson
Gender	Female
Speciality	Physician Assistant
Location	11 Medical Dr, Port Jefferson Station, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215235429
Provider Enumeration Date: 03/11/2011
Last Update Date: 09/27/2018

Medicare PECOS Information:

PECOS PAC ID: 6103106075
Enrollment ID: I20161212000351

Medical Identifiers

Medical identifiers for Colleen Breen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215235429	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	020304 (New York)	Secondary
363A00000X	Physician Assistant	020304-1 (New York)	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. Colleen Breen 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
Colleen Breen Johnson, PA-C 120 Lebrun Ave, Amityville, NY 11701-4249 Ph: () -	Colleen Breen Johnson, PA-C 11 Medical Dr, Port Jefferson Station, NY 11776-1589 Ph: (631) 509-6066

Reviews and Comments

Physician Assistant Nurses in Port Jefferson Station, NY

Kenneth Ryan Mataragas, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1500 Ny-112 Building 6, Suite C, Port Jefferson Station, NY 11776 Phone: 631-732-9090
Stacey Digiacomo, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776 Phone: 631-331-0500 Fax: 631-331-1644
Amanda Marie Wiermann, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 69 Clymer St, Port Jefferson Station, NY 11776 Phone: 631-828-5419
Linda Wynne, RPAC Physician Assistant Medicare: Medicare Enrolled Practice Location: 815 Hallock Ave, Port Jefferson Station, NY 11776 Phone: 631-331-7267
Mr. Michael Gerard Schmit Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 116 Terryville Rd, Port Jefferson Station, NY 11776 Phone: 631-928-2002
Michelle Walz, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4 Massachusetts Ave, Port Jefferson Station, NY 11776 Phone: 631-374-6910
Noami Morey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4724 Nesconset Hwy, Port Jefferson Station, NY 11776 Phone: 631-474-5900 Fax: 631-828-1946

Colleen Breen Johnson, PA-C - Medicare Physician Assistant in Port Jefferson Station, NY