Russell P Johnson, PA-C in Las Vegas, NV - Physician Assistant

Russell P Johnson, PA-C is a Physician Assistant - Medical physician based in Las Vegas, Nevada. Russell P Johnson is licensed to practice in Nevada (license number PA1753) and his current practice location is 7021 Spring Mountain Rd, Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 803-2222.

NPI number for Russell P Johnson is 1497712483 and his current mailing address is 7021 Spring Mountain Rd, Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1497712483.

Contact Information

	Russell P Johnson, PA-C
	7021 Spring Mountain Rd, Las Vegas, NV 89117-3818
	(702) 803-2222
	(702) 829-7269

Physician's Profile

Full Name	Russell P Johnson
Gender	Male
Speciality	Physician Assistant - Medical
Location	7021 Spring Mountain Rd, Las Vegas, Nevada
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1497712483
Provider Enumeration Date: 04/26/2006
Last Update Date: 11/27/2020

Medical Identifiers

Medical identifiers for Russell P Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497712483	NPI	-	NPPES
1336749811	Other	NV	GROUP NPI
1497712483	Medicaid	NV

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208VP0000X	Pain Medicine - Pain Medicine	MA003569L (Pennsylvania)	Secondary
363AM0700X	Physician Assistant - Medical	MA003569L (Pennsylvania)	Secondary
363AM0700X	Physician Assistant - Medical	PA1753 (Nevada)	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. Russell P 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
Russell P Johnson, PA-C 7021 Spring Mountain Rd, Las Vegas, NV 89117-3818 Ph: (702) 803-2222	Russell P Johnson, PA-C 7021 Spring Mountain Rd, Las Vegas, NV 89117-3818 Ph: (702) 803-2222

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Russell P Johnson, PA-C - Physician Assistant in Las Vegas, NV