Mrs Shannon Lee Johnson, PA-C in Davenport, IA - Medicare Physician Assistant

Mrs Shannon Lee Johnson, PA-C is a medicare enrolled "Physician Assistant" in Davenport, Iowa. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Genesis Health System and her current practice location is 1228 E Rusholme St, Mob 1, Suite 3020, Davenport, Iowa. You can reach out to her office (for appointments etc.) via phone at (563) 421-7540.

Mrs Shannon Lee Johnson is licensed to practice in Iowa (license number 002328) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750566790.

Contact Information

	Mrs Shannon Lee Johnson, PA-C
	1228 E Rusholme St, Mob 1, Suite 3020, Davenport, IA 52803
	(563) 421-7540
	(563) 421-7549

Map and Direction

Provider's Profile

Full Name	Mrs Shannon Lee Johnson
Gender	Female
Speciality	Physician Assistant
Experience	17 Years
Location	1228 E Rusholme St, Davenport, Iowa
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Shannon Lee Johnson graduated from nursing school in 2007

NPI Data:

NPI Number: 1750566790
Provider Enumeration Date: 01/09/2008
Last Update Date: 10/12/2021

Medicare PECOS Information:

PECOS PAC ID: 6608940135
Enrollment ID: I20130321000621

Medical Identifiers

Medical identifiers for Mrs Shannon Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1750566790	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	085003168 (Illinois)	Secondary
363A00000X	Physician Assistant	002328 (Iowa)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Genesis Medical Center-davenport	Davenport, IA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Genesis Health System	6103829338	186

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 Lee 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
Mrs Shannon Lee Johnson, PA-C 1228 E Rusholme St, Mob 1, Suite 3020, Davenport, IA 52803 Ph: (563) 421-7540	Mrs Shannon Lee Johnson, PA-C 1228 E Rusholme St, Mob 1, Suite 3020, Davenport, IA 52803 Ph: (563) 421-7540

Reviews and Comments

Physician Assistant Nurses in Davenport, IA

Kelsey Israelson, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827
Miss Taylor Evelyn Timpe, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827
Caitlin J Wilson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1230 E Rusholme St, Suite 150, Davenport, IA 52803 Phone: 563-421-3990 Fax: 563-421-3999
Tiffany Jo Schick, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5886
Madeline Rose Mackinac, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827
Grace Elizabeth Valen Gatrost, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1320 W Lombard St, Davenport, IA 52804 Phone: 563-333-5827
Charles Grant Dennehey, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1227 E Rusholme St, Davenport, IA 52803 Phone: 563-421-1000

Mrs Shannon Lee Johnson, PA-C - Medicare Physician Assistant in Davenport, IA