Mr David Shane Johnson, PA-C is a medicare enrolled "Physician Assistant" in Magee, Mississippi. His current practice location is
376a Simpson Highway 149, Magee, Mississippi. You can reach out to his office (for appointments etc.) via phone at
(601) 849-1475.
Mr David Shane Johnson is licensed to practice in Mississippi (license number PA024) 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 1962619932.
Provider's Profile
Full Name | Mr David Shane Johnson |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 376a Simpson Highway 149, Magee, Mississippi |
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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. |
Medical Education and Training:
- Mr David Shane Johnson attended and graduated from in
NPI Data:
- NPI Number: 1962619932
- Provider Enumeration Date: 05/17/2007
- Last Update Date: 12/23/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr David Shane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962619932 | NPI | - | NPPES |
00125918 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | PA024 (Mississippi) | 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 David Shane 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 David Shane Johnson, PA-C Po Box 769, Magee, MS 39111-0769 Ph: (601) 849-1475 | Mr David Shane Johnson, PA-C 376a Simpson Highway 149, Magee, MS 39111-3409 Ph: (601) 849-1475 |
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