Cody Johnson, - Medicare Physician Assistant in Boise, ID

Cody Johnson, is a medicare enrolled "Physician Assistant" in Boise, Idaho. He graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice St Lukes Clinic-treasure Valley Llc and his current practice location is 190 E Bannock St Fl 10, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 381-5500.

Cody Johnson is licensed to practice in Idaho (license number PA-2399) 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 1184392011.

Contact Information

Cody Johnson,
190 E Bannock St Fl 10,
Boise, ID 83712-6241
(208) 381-5500
Not Available



Provider's Profile

Full NameCody Johnson
GenderMale
SpecialityPhysician Assistant
Experience3 Years
Location190 E Bannock St Fl 10, Boise, Idaho
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Cody Johnson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1184392011
  • Provider Enumeration Date: 09/03/2021
  • Last Update Date: 11/30/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496146086
  • Enrollment ID: I20230220001338

Medical Identifiers

Medical identifiers for Cody Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184392011NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant PA-2399 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Luke's Regional Medical CenterBoise, IDHospital
St Luke's Nampa Medical CenterNampa, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Lukes Clinic-treasure Valley Llc4981878402968

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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. Cody 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 AddressPractice Location Address
Cody Johnson,
190 E Bannock St,
Boise, ID 83712-6241

Ph: () -
Cody Johnson,
190 E Bannock St Fl 10,
Boise, ID 83712-6241

Ph: (208) 381-5500

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Physician Assistant Nurses in Boise, ID

Brittany Guthrie, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1072 N Liberty Street, Ste 303, Boise, ID 83704
Phone: 208-302-4400    Fax: 208-302-4255
Polina Kokoulina, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N Liberty St, Ste 101, Boise, ID 83704
Phone: 208-367-5050    Fax: 208-367-5151
Natalie Marie Hague, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Warm Springs Ave Ste B, Boise, ID 83712
Phone: 208-381-6930    Fax: 208-381-6931
Micah Ray Tobin, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 10583 W Lake Hazel Rd, Boise, ID 83709
Phone: 208-302-5950    Fax: 208-302-5955
Jason H. Mcbride, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1055 N Curtis Rd, Boise, ID 83706
Phone: 208-367-3131    
Patrick B Mccabe, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1188 W University Dr, Boise, ID 83706
Phone: 208-336-8250    Fax: 208-345-9514
Thomas F Douthit, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 900 N. Liberty St., Suite 400, Boise, ID 83704
Phone: 208-367-3320    Fax: 208-367-7474

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