Gregory Justin Johnson, is a medicare enrolled "Dentist" provider in Richardton, North Dakota. His current practice location is 
200 3rd Ave W, Richardton, North Dakota. You can reach out to his office (for appointments etc.) via phone at 
(701) 974-2118.
Gregory Justin Johnson is licensed to practice in North Dakota (license number 1720) 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 1881677094.
				
				
				
				
				
		 
		
		 
Healthcare Provider's Profile
		
			
			
			| Full Name | Gregory Justin Johnson | 
|---|
| Gender | Male | 
|---|
| Speciality | Dentist | 
|---|
| Location | 200 3rd Ave W, Richardton, North Dakota | 
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1881677094
 - Provider Enumeration Date: 11/22/2005
 - Last Update Date: 05/04/2017
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 4183924228
 - Enrollment ID: I20151123000717
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Gregory Justin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1881677094 | NPI | - | NPPES | 
| 40988 | Medicaid | ND |  | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 122300000X | Dentist  | 1720 (North Dakota) | 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. Gregory Justin 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 | 
		Gregory Justin Johnson, 200 3rd Ave W, Richardton, ND 58652-0333 Ph: (701) 974-2118 | Gregory Justin Johnson, 200 3rd Ave W, Richardton, ND 58652-0333 Ph: (701) 974-2118 | 
		
		 
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