Tamara A Johnson, PA-C in St Louis Park, MN - Medicare Physician Assistant

Tamara A Johnson, PA-C is a medicare enrolled "Physician Assistant" in St Louis Park, Minnesota. Her current practice location is 6490 Excelsior Blvd, Ste W200, St Louis Park, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-3180.

Tamara A Johnson is licensed to practice in Minnesota (license number 1045) 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 1023206935.

Contact Information

	Tamara A Johnson, PA-C
	6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426-4705
	(952) 993-3180
	Not Available

Provider's Profile

Full Name	Tamara A Johnson
Gender	Female
Speciality	Physician Assistant
Location	6490 Excelsior Blvd, St Louis Park, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023206935
Provider Enumeration Date: 10/05/2007
Last Update Date: 10/05/2007

Medicare PECOS Information:

PECOS PAC ID: 8426139296
Enrollment ID: I20080117000632

Medical Identifiers

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

Identifier	Type	State	Issuer
1023206935	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	1045 (Minnesota)	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. Tamara A 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
Tamara A Johnson, PA-C 6465 Wayzata Blvd, Ste 210, St Louis Park, MN 55426-1728 Ph: () -	Tamara A Johnson, PA-C 6490 Excelsior Blvd, Ste W200, St Louis Park, MN 55426-4705 Ph: (952) 993-3180

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Physician Assistant Nurses in St Louis Park, MN

Amy Vandenberg, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3850 Park Nicollet Blvd, St Louis Park, MN 55416 Phone: 952-883-1000
Kelly C Greco, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3800 Park Nicollet Blvd, Department Of Dermatology, St Louis Park, MN 55416 Phone: 952-993-3260 Fax: 952-993-0333
Ms. Maggie J Koch, O.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6490 Excelsior Blvd, Ste E400, St Louis Park, MN 55426 Phone: 952-993-3123
Lucia F Pierson, OPA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 6465 Wayzata Blvd, Ste 315, St Louis Park, MN 55426 Phone: 952-993-7169 Fax: 952-993-0300
Lukas Pitzl, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-3246
Mrs. Ann Marie Strong, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Park Nicollet Clinic-smartcare, 3800 Park Nicollet Blvd Suite 150, St Louis Park, MN 55416 Phone: 952-993-1190 Fax: 952-993-0960

Tamara A Johnson, PA-C - Medicare Physician Assistant in St Louis Park, MN