Kimberly Johnson, in State College, PA - Medicare Physician Assistant

Kimberly Johnson, is a medicare enrolled "Physician Assistant" in State College, Pennsylvania. Her current practice location is 1850 E Park Ave Ste 103, Cema Er, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 231-7000.

Kimberly Johnson is licensed to practice in Pennsylvania (license number MA055075) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1114100344.

Contact Information

	Kimberly Johnson,
	1850 E Park Ave Ste 103, Cema Er, State College, PA 16803-6706
	(814) 231-7000
	Not Available

Provider's Profile

Full Name	Kimberly Johnson
Gender	Female
Speciality	Physician Assistant
Location	1850 E Park Ave Ste 103, State College, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114100344
Provider Enumeration Date: 12/11/2007
Last Update Date: 06/15/2021

Medicare PECOS Information:

PECOS PAC ID: 5799873865
Enrollment ID: I20120105000191

Medical Identifiers

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

Identifier	Type	State	Issuer
1114100344	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	MA055075 (Pennsylvania)	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. Kimberly 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
Kimberly Johnson, 301 Gregor Way, State College, PA 16801-7095 Ph: () -	Kimberly Johnson, 1850 E Park Ave Ste 103, Cema Er, State College, PA 16803-6706 Ph: (814) 231-7000

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Physician Assistant Nurses in State College, PA

Mrs. Kelly Kathleen Luther, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1630 N Atherton St, State College, PA 16803 Phone: 814-238-1279 Fax: 814-238-1929
Brian T. Reid, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484
Ms. April A. Rine, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 200 Scenery Dr, State College, PA 16801 Phone: 814-231-4560 Fax: 814-235-5512
Mr. Scott M Minor, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484
Ashley Marie Bowser, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150
Ms. Meredith Constance Galt, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1630 N Atherton St, State College, PA 16803 Phone: 814-238-1279 Fax: 814-238-1929
Amanda M. Cordero, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-278-4818 Fax: 814-234-6150

Kimberly Johnson, - Medicare Physician Assistant in State College, PA