Mr David Shane Johnson, PA-C in Magee, MS - Medicare Physician Assistant

Mr David Shane Johnson, PA-C is a medicare enrolled "Physician Assistant" in Magee, Mississippi. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Magee Benevolent Association and 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.

Contact Information

	Mr David Shane Johnson, PA-C
	376a Simpson Highway 149, Magee, MS 39111-3409
	(601) 849-1475
	(601) 849-1549

Map and Direction

Provider's Profile

Full Name	Mr David Shane Johnson
Gender	Male
Speciality	Physician Assistant
Experience	23 Years
Location	376a Simpson Highway 149, Magee, Mississippi
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 graduated from nursing school in 2001

NPI Data:

NPI Number: 1962619932
Provider Enumeration Date: 05/17/2007
Last Update Date: 12/23/2019

Medicare PECOS Information:

PECOS PAC ID: 9436115292
Enrollment ID: I20041203000641

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

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Magee General Hospital	Magee, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Magee Benevolent Association	3678466463	8

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

Mr David Shane Johnson, PA-C - Medicare Physician Assistant in Magee, MS