Delisha M Johnson, PAC in Port Orchard, WA - Medicare Physician Assistant

Delisha M Johnson, PAC is a medicare enrolled "Physician Assistant" in Port Orchard, Washington. Her current practice location is 320 S Kitsap Blvd, Port Orchard, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 876-7215.

Delisha M Johnson is licensed to practice in Washington (license number PA10004048) 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 1114030566.

Contact Information

	Delisha M Johnson, PAC
	320 S Kitsap Blvd, Port Orchard, WA 98366-3778
	(360) 876-7215
	(360) 876-6721

Map and Direction

Provider's Profile

Full Name	Delisha M Johnson
Gender	Female
Speciality	Physician Assistant
Location	320 S Kitsap Blvd, Port Orchard, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114030566
Provider Enumeration Date: 08/17/2006
Last Update Date: 02/09/2011

Medicare PECOS Information:

PECOS PAC ID: 6406863612
Enrollment ID: I20060314000028

Medical Identifiers

Medical identifiers for Delisha M Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114030566	NPI	-	NPPES
8321150	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA10004048 (Washington)	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. Delisha M 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
Delisha M Johnson, PAC Po Box 960, Bremerton, WA 98337 Ph: (360) 478-2366	Delisha M Johnson, PAC 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 Ph: (360) 876-7215

Reviews and Comments

Physician Assistant Nurses in Port Orchard, WA

Mr. Steven Lloyd Mcmaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd Ste 2120, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-782-3115
Mrs. Natalie Pearce Turley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270
Mr. Leo M Canonizado, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 450 So. Kitsap Blvd., Suite 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6188
Rachel Erin Mcelvain, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1400 Pottery Ave, Port Orchard, WA 98366 Phone: 360-895-5000
Rubee Gonzalez, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd, Port Orchard, WA 98366 Phone: 360-744-6275
Miss Elisabeth Rose Dean, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 450 S Kitsap Blvd Ste 100, Port Orchard, WA 98366 Phone: 360-744-6275 Fax: 360-744-6270

Delisha M Johnson, PAC - Medicare Physician Assistant in Port Orchard, WA