Gary Lynn Johnson, PA in South Charleston, WV - Medicare Physician Assistant

Gary Lynn Johnson, PA is a medicare enrolled "Physician Assistant" in South Charleston, West Virginia. His current practice location is 610 Chestnut St, South Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at (304) 766-7515.

Gary Lynn Johnson is licensed to practice in West Virginia (license number 01092) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1336116003.

Contact Information

	Gary Lynn Johnson, PA
	610 Chestnut St, South Charleston, WV 25309-1251
	(304) 766-7515
	(304) 766-7566

Provider's Profile

Full Name	Gary Lynn Johnson
Gender	Male
Speciality	Physician Assistant
Location	610 Chestnut St, South Charleston, West Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336116003
Provider Enumeration Date: 03/02/2006
Last Update Date: 12/17/2007

Medicare PECOS Information:

PECOS PAC ID: 6800864026
Enrollment ID: I20040923001298

Medical Identifiers

Medical identifiers for Gary Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336116003	NPI	-	NPPES
1071247	Other	WV	WV DWC
01092	Other	WV	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	01092 (West 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. Gary Lynn 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
Gary Lynn Johnson, PA 107 Rocky Step Rd, Scott Depot, WV 25560-9631 Ph: (304) 412-4243	Gary Lynn Johnson, PA 610 Chestnut St, South Charleston, WV 25309-1251 Ph: (304) 766-7515

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Physician Assistant Nurses in South Charleston, WV

Dustin Crites, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-766-3601 Fax: 304-766-3477
Mr. Geno Anthony Santangelo Jr., P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-389-7914
Gregory Porter, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 707 Chestnut St, South Charleston, WV 25309 Phone: 304-768-8500 Fax: 304-768-8530
Mrs. Lori Jane Rainey, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300
Aris L Smith, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4605 Maccorkle Ave Sw, South Charleston, WV 25309 Phone: 304-521-3612
Natalie R Beeson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 401 Division St Ste 306, South Charleston, WV 25309 Phone: 304-766-4300 Fax: 304-766-5474
Erik James Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 242 Division St, South Charleston, WV 25309 Phone: 304-767-7840 Fax: 304-767-7849

Gary Lynn Johnson, PA - Medicare Physician Assistant in South Charleston, WV