Mrs Shannon Elizabeth Johnson, PA-C is a
Physician Assistant - Medical based in Dryden, New York. Mrs Shannon Elizabeth Johnson is licensed to practice in New York (license number 007939-1) and her current practice location is
83 Lewis St, Dryden, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 844-8201.
NPI number for Mrs Shannon Elizabeth Johnson is 1922178045 and her current mailing address is 4 Ferndale Ln, Homer, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922178045.
Provider's Profile
| Full Name | Mrs Shannon Elizabeth Johnson |
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| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 83 Lewis St, Dryden, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922178045
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mrs Shannon Elizabeth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922178045 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | 007939-1 (New York) | 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 Shannon Elizabeth Johnson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Shannon Elizabeth Johnson, PA-C
4 Ferndale Ln,
Homer, NY 13077-9418
Ph: (607) 749-6511 | Mrs Shannon Elizabeth Johnson, PA-C
83 Lewis St,
Dryden, NY 13053
Ph: (607) 844-8201 |
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