MRS. BERNICE IK-JANG MI JOHNSON PHYISICAN ASSISTANT
NPI 1831110279
Physician Assistant - Medical in Palos Heights, IL

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
7300 W COLLEGE DR, 1NW, PALOS HEIGHTS, IL 60463(708) 671-1374(708) 671-1378 Get Directions Write a Review

NPPES record last updated: February 19, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Bernice Ik-jang Mi Johnson Phyisican Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. BERNICE IK-JANG MI JOHNSON PHYISICAN ASSISTANT (NPI 1831110279) is an individual medical provider in Palos Heights, Illinois, licensed in Illinois (085-001948) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1831110279
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMRS. BERNICE IK-JANG MI JOHNSONCredential: PHYISICAN ASSISTANT
Location Address7300 W COLLEGE DR, 1NWPalos Heights, IL 60463-1152
Mailing Address7300 W College Dr, 1nwPalos Heights, IL 60463-1152 · (708) 671-1374 · Fax (708) 671-1378
Fax(708) 671-1378
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 21, 2006
Last NPPES UpdateFebruary 19, 2013
NPI 1831110279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in IL · 085-001948
7300 W COLLEGE DR, Palos Heights, IL 60463

Other Names 1

Professional Name (2)Mrs. Bernice Ik-jang Mi Johnson Physician Assistant

Other Identifiers 2

Medicare PINIL2485011IL
Medicare UPIN363AM0700X

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Bernice Ik-jang Mi Johnson Phyisican Assistant is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254338015
PECOS Enrollment IDI20061109000054
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor
7300 W COLLEGE DR, SUITE 101
PALOS HEIGHTS, IL 60463
Psychologist (Clinical)
7300 W COLLEGE DR, 101
PALOS HEIGHTS, IL 60463
Dermatology
7300 W COLLEGE DR, SUITE1NW
PALOS HEIGHTS, IL 60463
Counselor (Professional)
7300 W COLLEGE DR, #203
PALOS HEIGHTS, IL 60463
Counselor (Professional)
7300 W COLLEGE DR, #203
PALOS HEIGHTS, IL 60463
Physician Assistant (Medical)
7300 W COLLEGE DR
PALOS HEIGHTS, IL 60463
Psychologist
7300 W COLLEGE DR, SUITE 101
PALOS HEIGHTS, IL 60463
Counselor (Professional)
7300 W COLLEGE DR
PALOS HEIGHTS, IL 60463

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernice Johnson's NPI number?

The NPI number for Bernice Johnson is 1831110279. It was assigned to this individual provider in the NPPES registry on July 21, 2006. The provider is also known as Mrs. Bernice Ik-Jang Mi Johnson Physician Assistant.

Where is Bernice Johnson located?

Bernice Johnson practices at 7300 W College Dr 1nw, Palos Heights, IL 60463. The listed phone number is (708) 671-1374.

What is Bernice Johnson's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Bernice Johnson enrolled in Medicare?

Yes. Bernice Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Bernice Johnson was last updated on February 19, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.