Diane Karen Johnson, PA is a
Physician Assistant - Medical based in Mt Vernon, Texas. Diane Karen Johnson is licensed to practice in Texas (license number PA01150) and her current practice location is
955 Lowes Ln, Mt Vernon, Texas. She can be reached at her office (for appointments etc.) via phone at
(903) 537-7558.
NPI number for Diane Karen Johnson is 1366643009 and her current mailing address is 955 Lowes Ln, Mt Vernon, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366643009.
Provider's Profile
| Full Name | Diane Karen Johnson |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 955 Lowes Ln, Mt Vernon, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1366643009
- Provider Enumeration Date: 05/30/2007
- Last Update Date: 03/12/2014
Medical Identifiers
Medical identifiers for Diane Karen Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366643009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA01150 (Texas) | 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. Diane Karen Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane Karen Johnson, PA
955 Lowes Ln,
Mt Vernon, TX 75457-9601
Ph: (903) 537-7558 | Diane Karen Johnson, PA
955 Lowes Ln,
Mt Vernon, TX 75457-9601
Ph: (903) 537-7558 |
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