Shannon Johnstad, PA - Medicare Physician Assistant in Thornton, CO

Shannon Johnstad, PA is a medicare enrolled "Physician Assistant" in Thornton, Colorado. Her current practice location is 2501 E 104th Ave, Thornton, Colorado. You can reach out to her office (for appointments etc.) via phone at (303) 255-4100.

Shannon Johnstad is licensed to practice in Colorado (license number 1192657) 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 1285391821.

Contact Information

Shannon Johnstad, PA
2501 E 104th Ave,
Thornton, CO 80233-4401
(303) 255-4100
Not Available



Provider's Profile

Full NameShannon Johnstad
GenderFemale
SpecialityPhysician Assistant
Location2501 E 104th Ave, Thornton, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285391821
  • Provider Enumeration Date: 11/18/2021
  • Last Update Date: 01/17/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1355732009
  • Enrollment ID: I20220106002460

Medical Identifiers

Medical identifiers for Shannon Johnstad such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285391821NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical PA.0007121 (Colorado)Secondary
363AM0700XPhysician Assistant - Medical (* (Not Available))Secondary
363A00000XPhysician Assistant 1192657 (Colorado)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. Shannon Johnstad 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
Shannon Johnstad, PA
2200 Market St, Apt 415,
Denver, CO 80205-2064

Ph: (218) 590-0246
Shannon Johnstad, PA
2501 E 104th Ave,
Thornton, CO 80233-4401

Ph: (303) 255-4100

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Physician Assistant Nurses in Thornton, CO

Kerri Alicia Madden, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 13631 Colorado Blvd, Thornton, CO 80602
Phone: 970-624-4451    
Melanie Anicee Anderson, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 3655 E 104th Ave, Thornton, CO 80233
Phone: 303-254-8500    
Kaitlin Ehrlich, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 9197 Grant St, Suite 100, Thornton, CO 80229
Phone: 303-450-3690    Fax: 303-450-3699
Candace Jean Daugherty,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 9191 Grant St, Thornton, CO 80229
Phone: 303-450-4482    Fax: 303-306-7753
Jacob Bjorn Heinen, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 8990 Washington St, Thornton, CO 80229
Phone: 720-929-1655    Fax: 720-565-4129
Alexis Heartsfield, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 9005 Grant St Ste 200, Thornton, CO 80229
Phone: 303-287-2800    Fax: 303-287-7357
Michele Hills, PA-C, MMS
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1700 W 100th Ave, Thornton, CO 80260
Phone: 720-515-9112    Fax: 888-958-5968

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