Miss Kerry Lynn Johnson, PA in Port Jefferson, NY

Miss Kerry Lynn Johnson, PA is a medicare enrolled "Physician Assistant" in Port Jefferson, New York. Her current practice location is 635 Belle Terre Rd, Suite 204, Port Jefferson, New York. You can reach out to her office (for appointments etc.) via phone at (631) 474-0008.

Miss Kerry Lynn Johnson is licensed to practice in New York (license number 014438) 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 1558665414.

Contact Information

	Miss Kerry Lynn Johnson, PA
	635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1935
	(631) 474-0008
	(631) 474-0224

Map and Direction

Provider's Profile

Full Name	Miss Kerry Lynn Johnson
Gender	Female
Speciality	Physician Assistant
Location	635 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558665414
Provider Enumeration Date: 01/06/2011
Last Update Date: 07/16/2019

Medicare PECOS Information:

PECOS PAC ID: 1456687573
Enrollment ID: I20190729000210

Medical Identifiers

Medical identifiers for Miss Kerry Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558665414	NPI	-	NPPES
113422995	Other	NY	TAX ID #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	014438 (New York)	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. Miss Kerry Lynn 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
Miss Kerry Lynn Johnson, PA 300 W 72nd St, Apt 1d, New York, NY 10023-2661 Ph: (631) 944-5923	Miss Kerry Lynn Johnson, PA 635 Belle Terre Rd, Suite 204, Port Jefferson, NY 11777-1935 Ph: (631) 474-0008

Reviews and Comments

Physician Assistant Nurses in Port Jefferson, NY

Ms. Christie Lee Cotty, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd #110, Port Jefferson, NY 11777 Phone: 631-298-4008
Loretta Didwell, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-474-4667
Igor Lizogubenko, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000
Casey Ward, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Mr. Matthew Delph, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Belle Terre Rd, Port Jefferson, NY 11777 Phone: 631-474-6000
Francis Richard Sicari, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320
Charles Mellor, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 75 N Country Rd, Port Jefferson, NY 11777 Phone: 631-473-1320 Fax: 631-686-7653

Miss Kerry Lynn Johnson, PA - Medicare Physician Assistant in Port Jefferson, NY