Ms Jennifer Ann Johnson, PA is a medicare enrolled "Physician Assistant - Surgical" in Us Air Force, Colorado. Her current practice location is
4102 Pinion Dr, Us Air Force, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 333-5042.
Ms Jennifer Ann Johnson is licensed to practice in Colorado (license number PA.0004517) 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 1437103702.
Provider's Profile
| Full Name | Ms Jennifer Ann Johnson |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Surgical |
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| Location | 4102 Pinion Dr, Us Air Force, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437103702
- Provider Enumeration Date: 05/20/2006
- Last Update Date: 12/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628101565
- Enrollment ID: I20161005001298
Medical Identifiers
Medical identifiers for Ms Jennifer Ann Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437103702 | NPI | - | NPPES |
| 41960600 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | 1470-023 (Wisconsin) | Secondary |
| 363AS0400X | Physician Assistant - Surgical | PA.0004517 (Colorado) | 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. Ms Jennifer Ann 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 |
|---|
Ms Jennifer Ann Johnson, PA
4105 Briargate Pkwy, Ste 300,
Colorado Springs, CO 80920-3480
Ph: (719) 776-7846 | Ms Jennifer Ann Johnson, PA
4102 Pinion Dr,
Us Air Force, CO 80840-2502
Ph: (719) 333-5042 |
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