Individual ProviderDavid JohnsPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1221 South Dr, Mt Pleasant, MI 48858-3258(989) 772-6700PECOS EnrollmentBased on the most recent information from CMS, provider David Johns is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1982893863Provider TypeIndividualFull NameJohns, DavidCredentialPAGenderMaleSole ProprietorNoEnumeration Date10/17/2007Last Updated10/17/2007Contact InformationPractice LocationPractice Address1221 South Dr, Mt Pleasant, MI 48858-3258Phone(989) 772-6700Fax(989) 772-6807Mailing LocationMailing Address1221 South Dr, Mt Pleasant, MI 48858-3258Phone(989) 772-6700Fax(989) 772-6807Provider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense5601005081MichiganProvider IdentifiersIDDescriptionIssuerID5601005081DescriptionOtherIssuerMI LICENSE NUMBERMichigan