Mr Ben Douglas Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Phoenix, Oregon. He graduated from nursing school in 2002 and has 22 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice G Street Integrated Health and his current practice location is
205 N Phoenix Rd Ste 430, Phoenix, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 778-4517.
Mr Ben Douglas Johnson is licensed to practice in Oregon (license number PA00825) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1720152465.
Provider's Profile
| Full Name | Mr Ben Douglas Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 22 Years |
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| Location | 205 N Phoenix Rd Ste 430, Phoenix, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Ben Douglas Johnson graduated from nursing school in 2002
NPI Data:
- NPI Number: 1720152465
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2567358856
- Enrollment ID: I20040224000799
Medical Identifiers
Medical identifiers for Mr Ben Douglas Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720152465 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AS0400X | Physician Assistant - Surgical | PA00825 (Oregon) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA00825 (Oregon) | 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. Mr Ben Douglas 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 |
|---|
Mr Ben Douglas Johnson, PA-C
205 N Phoenix Rd Ste 430,
Phoenix, OR 97535-9108
Ph: (541) 778-4517 | Mr Ben Douglas Johnson, PA-C
205 N Phoenix Rd Ste 430,
Phoenix, OR 97535-9108
Ph: (541) 778-4517 |
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