Shad Carl Johnson, PA-C in Pocatello, ID - Medicare Physician Assistant

Shad Carl Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Pocatello, Idaho. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Pocatello Health Services Llc and his current practice location is 1151 Hospital Way Bldg A, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-6616.

Shad Carl Johnson is licensed to practice in Idaho (license number PA-629) 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 1114028354.

Contact Information

	Shad Carl Johnson, PA-C
	1151 Hospital Way Bldg A, Pocatello, ID 83201-2763
	(208) 232-6616
	(208) 232-6618

Map and Direction

Provider's Profile

Full Name	Shad Carl Johnson
Gender	Male
Speciality	Physician Assistant
Experience	18 Years
Location	1151 Hospital Way Bldg A, Pocatello, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Shad Carl Johnson graduated from nursing school in 2006

NPI Data:

NPI Number: 1114028354
Provider Enumeration Date: 09/26/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2466555487
Enrollment ID: I20070313000263

Medical Identifiers

Medical identifiers for Shad Carl Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114028354	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	PA-629 (Idaho)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Portneuf Medical Center	Pocatello, ID	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pocatello Health Services Llc	6608927637	153

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. Shad Carl 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
Shad Carl Johnson, PA-C 1151 Hospital Way Bldg A, P.o. Box 4788, Pocatello, ID 83201-2763 Ph: (208) 232-6616	Shad Carl Johnson, PA-C 1151 Hospital Way Bldg A, Pocatello, ID 83201-2763 Ph: (208) 232-6616

Reviews and Comments

Physician Assistant Nurses in Pocatello, ID

Shannon Alison Webb, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1000
Mrs. Helena M. B. Rizor, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1448 E Center St, Pocatello, ID 83201 Phone: 208-234-1300 Fax: 208-234-1333
Ms. Kasandra Jo Kister, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209 Phone: 208-282-4726
Mr. Michael John Doyle, PA-C(PHYS ASST) Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209 Phone: 208-282-2330 Fax: 208-282-4036
James Matthew Campbell, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1515 E Clark St, Pocatello, ID 83201 Phone: 208-233-2273
Tanner D Mitton, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 950 Hospital Way, Ste A, Pocatello, ID 83201 Phone: 208-478-4522 Fax: 208-712-6868

Shad Carl Johnson, PA-C - Medicare Physician Assistant in Pocatello, ID