Mrs Johnna Kaye Yealy, PA-C in Memphis, TN - Medicare Physician Assistant

Mrs Johnna Kaye Yealy, PA-C is a medicare enrolled "Physician Assistant" in Memphis, Tennessee. Her current practice location is 930 Madison Ave, Suite 890, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 866-8834.

Mrs Johnna Kaye Yealy is licensed to practice in Tennessee (license number PA1377) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1871604488.

Contact Information

	Mrs Johnna Kaye Yealy, PA-C
	930 Madison Ave, Suite 890, Memphis, TN 38103-3410
	(901) 866-8834
	(901) 302-2834

Map and Direction

Provider's Profile

Full Name	Mrs Johnna Kaye Yealy
Gender	Female
Speciality	Physician Assistant
Location	930 Madison Ave, Memphis, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871604488
Provider Enumeration Date: 08/31/2006
Last Update Date: 01/30/2015

Medicare PECOS Information:

PECOS PAC ID: 3971608829
Enrollment ID: I20131115001181

Medical Identifiers

Medical identifiers for Mrs Johnna Kaye Yealy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871604488	NPI	-	NPPES
PA1377	Other	TN	TN STATE LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	TC 015 (Kentucky)	Secondary
363A00000X	Physician Assistant	PA1377 (Tennessee)	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. Mrs Johnna Kaye Yealy 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
Mrs Johnna Kaye Yealy, PA-C 2157 Idlewood Cv, Germantown, TN 38139-5316 Ph: (615) 970-9212	Mrs Johnna Kaye Yealy, PA-C 930 Madison Ave, Suite 890, Memphis, TN 38103-3410 Ph: (901) 866-8834

Reviews and Comments

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Mrs Johnna Kaye Yealy, PA-C - Medicare Physician Assistant in Memphis, TN