Mr Tyler K Johnson, PA-C - Medicare Physician Assistant in Excelsior, MN

Mr Tyler K Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Excelsior, Minnesota. He went to University Of South Alabama College Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ridgeview Medical Center and his current practice location is 675 Water St, Excelsior, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 906-7855.

Mr Tyler K Johnson is licensed to practice in Illinois (license number 085005949) 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 1003362914.

Contact Information

Mr Tyler K Johnson, PA-C
675 Water St,
Excelsior, MN 55331-3072
(952) 906-7855
Not Available

Map and Direction




Provider's Profile

Full NameMr Tyler K Johnson
GenderMale
SpecialityPhysician Assistant
Experience8 Years
Location675 Water St, Excelsior, Minnesota
Accepts Medicare AssignmentsYes. 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 Tyler K Johnson attended and graduated from University Of South Alabama College Of Medicine in 2016
  NPI Data:
  • NPI Number: 1003362914
  • Provider Enumeration Date: 08/31/2016
  • Last Update Date: 05/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668734369
  • Enrollment ID: I20190315001844

Medical Identifiers

Medical identifiers for Mr Tyler K Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003362914NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 085005949 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ridgeview Medical CenterWaconia, MNHospital
Park Nicollet Methodist HospitalSaint louis park, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ridgeview Medical Center9234041997175

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 Tyler K 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
Mr Tyler K Johnson, PA-C
676 N Saint Clair St, Suite 1600,
Chicago, IL 60611-2927

Ph: () -
Mr Tyler K Johnson, PA-C
675 Water St,
Excelsior, MN 55331-3072

Ph: (952) 906-7855

Reviews and Comments


Physician Assistant Nurses in Excelsior, MN

Gina Orourke Peschel, PAC
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 675 Water St, Excelsior, MN 55331
Phone: 952-906-7855    Fax: 952-470-4523
Elizabeth N Boyum, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 23505 Smithtown Rd Ste 120, Excelsior, MN 55331
Phone: 612-486-4200    

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.