Dr Donald J Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Coeur D'alene, Idaho. His current practice location is
114 W. Neider Ave., Coeur D'alene, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 667-4551.
Dr Donald J Johnson is licensed to practice in Idaho (license number D1677) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629153150.
Healthcare Provider's Profile
| Full Name | Dr Donald J Johnson |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 114 W. Neider Ave., Coeur D'alene, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629153150
- Provider Enumeration Date: 10/25/2006
- Last Update Date: 06/20/2018
Medicare PECOS Information:
- PECOS PAC ID: 8628255890
- Enrollment ID: I20110616000147
Medical Identifiers
Medical identifiers for Dr Donald J Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629153150 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | D1677 (Idaho) | 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. Dr Donald J 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 |
|---|
Dr Donald J Johnson, DDS
114 W. Neider Ave.,
Coeur D'alene, ID 83815
Ph: () - | Dr Donald J Johnson, DDS
114 W. Neider Ave.,
Coeur D'alene, ID 83815
Ph: (208) 667-4551 |
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