Charles Wade Johnson, PA-C in Fort Meade, SD - Physician Assistant

Charles Wade Johnson, PA-C is a Physician Assistant based in Fort Meade, South Dakota. Charles Wade Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is 113 Comanche Rd, Fort Meade, South Dakota. He can be reached at his office (for appointments etc.) via phone at (605) 347-7491.

NPI number for Charles Wade Johnson is 1699224931 and his current mailing address is 113 Comanche Rd, Fort Meade, South Dakota. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699224931.

Contact Information

	Charles Wade Johnson, PA-C
	113 Comanche Rd, Fort Meade, SD 57741-1002
	(605) 347-7491
	Not Available

Provider's Profile

Full Name	Charles Wade Johnson
Gender	Male
Speciality	Physician Assistant
Location	113 Comanche Rd, Fort Meade, South Dakota
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1699224931
Provider Enumeration Date: 09/28/2016
Last Update Date: 09/28/2016

Medical Identifiers

Medical identifiers for Charles Wade Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699224931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	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. Charles Wade 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
Charles Wade Johnson, PA-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-7491	Charles Wade Johnson, PA-C 113 Comanche Rd, Fort Meade, SD 57741-1002 Ph: (605) 347-7491

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Physician Assistant Nurses in Fort Meade, SD

Kaitlin M Atwater, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7449
Melissa Piatz, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Michelle Renee Hagen, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Tandis Hoffman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Jennie A Brehm, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-347-2511
Justin Thurman, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 113 Comanche Rd, Fort Meade, SD 57741 Phone: 605-720-7000

Charles Wade Johnson, PA-C - Physician Assistant in Fort Meade, SD