Lydia Johnson, in Brookline, MA - Medicare Physician Assistant

Lydia Johnson, is a medicare enrolled "Physician Assistant" in Brookline, Massachusetts. Her current practice location is 227 Babcock St, Brookline, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (585) 245-3784.

Lydia Johnson is licensed to practice in * (Not Available) (license number ) 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 1164171179.

Contact Information

	Lydia Johnson,
	227 Babcock St, Brookline, MA 02446-6773
	(585) 245-3784
	Not Available

Provider's Profile

Full Name	Lydia Johnson
Gender	Female
Speciality	Physician Assistant
Location	227 Babcock St, Brookline, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164171179
Provider Enumeration Date: 03/18/2022
Last Update Date: 12/12/2022

Medicare PECOS Information:

PECOS PAC ID: 9830569912
Enrollment ID: I20230105003147

Medical Identifiers

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

Identifier	Type	State	Issuer
1164171179	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	(* (Not Available))	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Lydia 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
Lydia Johnson, 3 Seminole Ave, Geneseo, NY 14454-9509 Ph: (585) 245-3784	Lydia Johnson, 227 Babcock St, Brookline, MA 02446-6773 Ph: (585) 245-3784

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Physician Assistant Nurses in Brookline, MA

Ms. Kendra Read, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 235 Cypress St, Brookline, MA 02445 Phone: 617-383-6255
Brittany Kang, Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1285 Beacon St, Brookline, MA 02446 Phone: 617-751-6205
Mrs. Amy Bray Akland, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1101 Beacon St, Suite 1e, Brookline, MA 02446 Phone: 617-731-2390 Fax: 617-731-1283
Lisa Nicole Manning, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 1285 Beacon St, Brookline, MA 02446 Phone: 617-751-6205
Julie Sands Weinberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1209 Beacon St Apt 1, Brookline, MA 02446 Phone: 508-479-5358
Blakely Ann Plaster, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 235 Cypress St, Brookline, MA 02445 Phone: 617-383-6250

Lydia Johnson, - Medicare Physician Assistant in Brookline, MA