Miss Kerry Lynn Johnson, PA - Medicare Physician Assistant 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 NameMiss Kerry Lynn Johnson
GenderFemale
SpecialityPhysician Assistant
Location635 Belle Terre Rd, Port Jefferson, New York
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1558665414NPI-NPPES
113422995OtherNYTAX ID #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician 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 AddressPractice 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

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.