Shad Carl Johnson, PA-C - Medicare Physician Assistant in Pocatello, ID

Shad Carl Johnson, PA-C is a medicare enrolled "Physician Assistant - Medical" in Pocatello, Idaho. He graduated from nursing school in 2006 and has 18 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Pocatello Health Services Llc and his current practice location is 1151 Hospital Way Bldg A, Pocatello, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 232-6616.

Shad Carl Johnson is licensed to practice in Idaho (license number PA-629) 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 1114028354.

Contact Information

Shad Carl Johnson, PA-C
1151 Hospital Way Bldg A,
Pocatello, ID 83201-2763
(208) 232-6616
(208) 232-6618



Provider's Profile

Full NameShad Carl Johnson
GenderMale
SpecialityPhysician Assistant
Experience18 Years
Location1151 Hospital Way Bldg A, Pocatello, 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:
  • Shad Carl Johnson graduated from nursing school in 2006
  NPI Data:
  • NPI Number: 1114028354
  • Provider Enumeration Date: 09/26/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 2466555487
  • Enrollment ID: I20070313000263

Medical Identifiers

Medical identifiers for Shad Carl Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114028354NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA-629 (Idaho)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Portneuf Medical CenterPocatello, IDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Pocatello Health Services Llc6608927637136

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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. Shad Carl 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
Shad Carl Johnson, PA-C
1151 Hospital Way Bldg A, P.o. Box 4788,
Pocatello, ID 83201-2763

Ph: (208) 232-6616
Shad Carl Johnson, PA-C
1151 Hospital Way Bldg A,
Pocatello, ID 83201-2763

Ph: (208) 232-6616

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Physician Assistant Nurses in Pocatello, ID

Shannon Alison Webb, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 777 Hospital Way, Pocatello, ID 83201
Phone: 208-239-1000    
Mrs. Helena M. B. Rizor, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1448 E Center St, Pocatello, ID 83201
Phone: 208-234-1300    Fax: 208-234-1333
Mr. Michael John Doyle, PA-C(PHYS ASST)
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 921 S 8th Ave Stop 8311, Pocatello, ID 83209
Phone: 208-282-2330    Fax: 208-282-4036
Tanner D Mitton, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 950 Hospital Way, Ste A, Pocatello, ID 83201
Phone: 208-478-4522    Fax: 208-712-6868
Ms. Lindsey Scott, PA-C
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1901 Alvin Ricken Dr, Pocatello, ID 83201
Phone: 208-233-9080    Fax: 208-478-9297
Mr. William Lorin Taylor Iii, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 921 S 8th Ave Stop 8253, Pocatello, ID 83209
Phone: 208-282-4726    

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