Johannah Lutz, PA-C in Portland, OR - Medicare Physician Assistant

Johannah Lutz, PA-C is a medicare enrolled "Physician Assistant - Medical" in Portland, Oregon. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 202 Nw 13th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 684-8252.

Johannah Lutz is licensed to practice in Oregon (license number PA159810) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1285966002.

Contact Information

	Johannah Lutz, PA-C
	202 Nw 13th Ave, Portland, OR 97209-2953
	(503) 684-8252
	Not Available

Map and Direction

Provider's Profile

Full Name	Johannah Lutz
Gender	Female
Speciality	Physician Assistant
Experience	14 Years
Location	202 Nw 13th Ave, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Johannah Lutz graduated from nursing school in 2010

NPI Data:

NPI Number: 1285966002
Provider Enumeration Date: 02/03/2010
Last Update Date: 10/19/2020

Medicare PECOS Information:

PECOS PAC ID: 8426231481
Enrollment ID: I20170907000854

Medical Identifiers

Medical identifiers for Johannah Lutz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285966002	NPI	-	NPPES
PA159810	Other	OR	OREGON MEDICAL BOARD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA159810 (Oregon)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Johannah Lutz 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
Johannah Lutz, PA-C 19075 Nw Tanasbourne Dr, Ste 200, Hillsboro, OR 97124-5860 Ph: (503) 684-8252	Johannah Lutz, PA-C 202 Nw 13th Ave, Portland, OR 97209-2953 Ph: (503) 684-8252

Reviews and Comments

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Johannah Lutz, PA-C - Medicare Physician Assistant in Portland, OR