Jake Michael Johnson, PA in Bridgeport, CT - Medicare Physician Assistant

Jake Michael Johnson, PA is a medicare enrolled "Physician Assistant" in Bridgeport, Connecticut. His current practice location is 267 Grant St, Bridgeport, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 384-3000.

Jake Michael Johnson is licensed to practice in Connecticut (license number 4557) 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 1134787518.

Contact Information

	Jake Michael Johnson, PA
	267 Grant St, Bridgeport, CT 06610-2805
	(203) 384-3000
	Not Available

Provider's Profile

Full Name	Jake Michael Johnson
Gender	Male
Speciality	Physician Assistant
Location	267 Grant St, Bridgeport, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134787518
Provider Enumeration Date: 05/31/2019
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 7911236880
Enrollment ID: I20190903002000

Medical Identifiers

Medical identifiers for Jake Michael Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134787518	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	4557 (Connecticut)	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. Jake Michael 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
Jake Michael Johnson, PA 21 Vista Dr, Shelton, CT 06484-1696 Ph: (203) 814-7810	Jake Michael Johnson, PA 267 Grant St, Bridgeport, CT 06610-2805 Ph: (203) 384-3000

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Physician Assistant Nurses in Bridgeport, CT

Mr. Alex Scott Cadan, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-4500 Fax: 203-384-3812
Daniel Paoletti, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Ms. Katie Lynn Merithew, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3199
Alan Olson, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Margaret Parisi, PA-S Physician Assistant Medicare: Medicare Enrolled Practice Location: 2800 Main St, Bridgeport, CT 06606 Phone: 203-576-6000
Mr. Michael Asare, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 267 Grant St, Bridgeport, CT 06610 Phone: 203-384-3000
Brent M Reilly, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2800 Main St, St.vincents Multispecialty Group, Bridgeport, CT 06606 Phone: 203-576-6000

Jake Michael Johnson, PA - Medicare Physician Assistant in Bridgeport, CT