Idella Johnson, PA-C in Tazewell, TN - Medicare Physician Assistant

Idella Johnson, PA-C is a medicare enrolled "Physician Assistant" in Tazewell, Tennessee. Her current practice location is 1610 Tazewell Rd, Suite 201, Tazewell, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 626-8393.

Idella Johnson is licensed to practice in Tennessee (license number 670) 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 1073554523.

Contact Information

	Idella Johnson, PA-C
	1610 Tazewell Rd, Suite 201, Tazewell, TN 37879-3600
	(423) 626-8393
	(423) 626-8749

Map and Direction

Provider's Profile

Full Name	Idella Johnson
Gender	Female
Speciality	Physician Assistant
Location	1610 Tazewell Rd, Tazewell, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073554523
Provider Enumeration Date: 06/08/2006
Last Update Date: 12/16/2015

Medicare PECOS Information:

PECOS PAC ID: 4284769563
Enrollment ID: I20100312000338

Medical Identifiers

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

Identifier	Type	State	Issuer
1073554523	NPI	-	NPPES
3669471	Medicaid	TN
4058153	Other	TN	BCBS OF TENNESSEE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	670 (Tennessee)	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. Idella 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
Idella Johnson, PA-C 1610 Tazewell Rd, Suite 201, Tazewell, TN 37879-3600 Ph: (423) 626-8393	Idella Johnson, PA-C 1610 Tazewell Rd, Suite 201, Tazewell, TN 37879-3600 Ph: (423) 626-8393

Reviews and Comments

Physician Assistant Nurses in Tazewell, TN

George Thompson, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1610 Tazewell Rd, Tazewell, TN 37879 Phone: 865-588-8229 Fax: 865-212-0163
Haley Henard Debusk, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 424 N. Broad Street, New Tazwell, Tazewell, TN 37825 Phone: 423-257-5700 Fax: 865-374-2200
Gibson Deane Calfee, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1610 Tazewell Rd Ste 302, Tazewell, TN 37879 Phone: 423-626-0374
Tonya Sherell Apperley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1610 Tazewell Rd, Tazewell, TN 37879 Phone: 865-588-8229 Fax: 865-212-0163
Kaitlyn Hope Kincaid, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1850 Old Knoxville Rd, Tazewell, TN 37879 Phone: 423-626-4211
Rondal Keith Brock, P.A.C. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: Tazewell Medical Clinic 1442 North Broad Street, Suite 7, Tazewell, TN 37879 Phone: 423-626-6145 Fax: 423-526-2804

Idella Johnson, PA-C - Medicare Physician Assistant in Tazewell, TN