Dr Donald J Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Coeur D'alene, Idaho. He went to University Of Minnesota School Of Dentistry and graduated in 1977 and has 49 years of diverse experience with area of expertise as Dentist. 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
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and 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 |
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| Experience | 49 Years |
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| Location | 114 W. Neider Ave., Coeur D'alene, Idaho |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Donald J Johnson attended and graduated from University Of Minnesota School Of Dentistry in 1977
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: I20260305002739
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 Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Donald J Johnson allows following entities to bill medicare on his behalf.
| Entity Name | Department of Social Dept of Shs Div of Instns |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467440602
PECOS PAC ID: 9133013725
Enrollment ID: O20040213000028 |
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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 |
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Dr Donald J Johnson, DDS
114 W. Neider Ave.,
Coeur D'alene, ID 83815
Ph: Not Available | Dr Donald J Johnson, DDS
114 W. Neider Ave.,
Coeur D'alene, ID 83815
Ph: (208) 667-4551 |
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