Denise Waynette Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Clinton, Oklahoma. Her current practice location is
1701 South 4th, Clinton, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 331-2200.
Denise Waynette Johnson is licensed to practice in Oklahoma (license number 1898) 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 1275844664.
Provider's Profile
Full Name | Denise Waynette Johnson |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1701 South 4th, Clinton, Oklahoma |
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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: 1275844664
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 02/28/2017
Medicare PECOS Information:
- PECOS PAC ID: 5092099184
- Enrollment ID: I20170309002187
Medical Identifiers
Medical identifiers for Denise Waynette Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275844664 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 1898 (Oklahoma) | 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. Denise Waynette 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 |
Denise Waynette Johnson, PA-C 1701 South 4th, Clinton, OK 73601 Ph: (580) 331-2296 | Denise Waynette Johnson, PA-C 1701 South 4th, Clinton, OK 73601 Ph: (580) 331-2200 |
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