Mr Stephen Archie Johnson, RN, NP,PA is a medicare enrolled "Nurse Practitioner - Family" in Covelo, California. He graduated from nursing school in 1985 and has 40 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Round Valley Indian Health Center, Inc. and his current practice location is
24065 Biggar Lane, Covelo, California. You can reach out to his office (for appointments etc.) via phone at
(707) 983-6181.
Mr Stephen Archie Johnson is licensed to practice in California (license number 6882) 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 1750363743.
Provider's Profile
| Full Name | Mr Stephen Archie Johnson |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 40 Years |
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| Location | 24065 Biggar Lane, Covelo, California |
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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 Stephen Archie Johnson graduated from nursing school in 1985
NPI Data:
- NPI Number: 1750363743
- Provider Enumeration Date: 11/16/2005
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658263819
- Enrollment ID: I20040325000315
Medical Identifiers
Medical identifiers for Mr Stephen Archie Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750363743 | NPI | - | NPPES |
| 12229 | Other | CA | PA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | 12229 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 320565 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 6882 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Round Valley Indian Health Center, Inc. | 9234128927 | 7 |
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 Stephen Archie 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 Stephen Archie Johnson, RN, NP,PA
24065 Biggar Lane,
Covelo, CA 95428-0247
Ph: (707) 983-6181 | Mr Stephen Archie Johnson, RN, NP,PA
24065 Biggar Lane,
Covelo, CA 95428-9669
Ph: (707) 983-6181 |
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