Tairy Adams Johnson, PA-C in Woodbridge, VA - Medicare Physician Assistant

Tairy Adams Johnson, PA-C is a medicare enrolled "Physician Assistant" in Woodbridge, Virginia. Her current practice location is 2300 Opitz Blvd, Woodbridge, Virginia. You can reach out to her office (for appointments etc.) via phone at (703) 523-1504.

Tairy Adams Johnson is licensed to practice in Virginia (license number 0110001991) 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 1063468890.

Contact Information

	Tairy Adams Johnson, PA-C
	2300 Opitz Blvd, Woodbridge, VA 22191-3311
	(703) 523-1504
	Not Available

Map and Direction

Provider's Profile

Full Name	Tairy Adams Johnson
Gender	Female
Speciality	Physician Assistant
Location	2300 Opitz Blvd, Woodbridge, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063468890
Provider Enumeration Date: 05/25/2006
Last Update Date: 08/04/2021

Medicare PECOS Information:

PECOS PAC ID: 6901858349
Enrollment ID: I20050215000095

Medical Identifiers

Medical identifiers for Tairy Adams Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063468890	NPI	-	NPPES
010209838	Medicaid	VA
010209889	Medicaid	VA
010209862	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	0110001991 (Virginia)	Secondary
363A00000X	Physician Assistant	0110001991 (Virginia)	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. Tairy Adams 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
Tairy Adams Johnson, PA-C 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: (703) 523-1504	Tairy Adams Johnson, PA-C 2300 Opitz Blvd, Woodbridge, VA 22191-3311 Ph: (703) 523-1504

Reviews and Comments

Physician Assistant Nurses in Woodbridge, VA

Christopher Rowley, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14900 Potomac Town Pl Ste 110, Woodbridge, VA 22191 Phone: 540-351-0662
Melissa Haug, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 14605 Potomac Branch Dr Ste 300, Woodbridge, VA 22191 Phone: 703-490-1112
Cassandra J Vazquez, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2300 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-523-1000
Katherine D Lyons, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 14348 Gideon Dr, Woodbridge, VA 22192 Phone: 703-490-1112 Fax: 703-878-8732
Jianing Zhang Chaney, PH.D, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14000 Crown Ct Ste 201, Woodbridge, VA 22193 Phone: 703-499-8787
Mr. Kurt Kusakabe Hardy, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3985 Prince William Pkwy Ste 102, Woodbridge, VA 22192 Phone: 703-590-8375

Tairy Adams Johnson, PA-C - Medicare Physician Assistant in Woodbridge, VA