Dr Nathan M Johannsson, DDS in Wentzville, MO

Dr Nathan M Johannsson, DDS is a medicare enrolled "Dentist" provider in Wentzville, Missouri. His current practice location is 246 Lonepine Dr, Wentzville, Missouri. You can reach out to his office (for appointments etc.) via phone at (480) 842-1799.

Dr Nathan M Johannsson is licensed to practice in Missouri (license number 2024024142) 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 1093869216.

Contact Information

	Dr Nathan M Johannsson, DDS
	246 Lonepine Dr, Wentzville, MO 63385-3504
	(480) 842-1799
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Nathan M Johannsson
Gender	Male
Speciality	Dentist
Location	246 Lonepine Dr, Wentzville, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093869216
Provider Enumeration Date: 01/23/2007
Last Update Date: 11/14/2025

Medicare PECOS Information:

PECOS PAC ID: 4183163629
Enrollment ID: I20240828001194

Medical Identifiers

Medical identifiers for Dr Nathan M Johannsson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093869216	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2024024142 (Missouri)	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 Nathan M Johannsson allows following entities to bill medicare on his behalf.

Entity Name	Aria Dental Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942977632 PECOS PAC ID: 6406211895 Enrollment ID: O20230613003407

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 Nathan M Johannsson 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 Nathan M Johannsson, DDS 246 Lonepine Dr, Wentzville, MO 63385-3504 Ph: (480) 842-1799	Dr Nathan M Johannsson, DDS 246 Lonepine Dr, Wentzville, MO 63385-3504 Ph: (480) 842-1799

Reviews and Comments

Dentist in Wentzville, MO

Dr. Darren Bremer, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1126 W Pearce Blvd, Ste. 110, Wentzville, MO 63385 Phone: 636-327-5188 Fax: 636-332-9223
Michael F Menolascino, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-6000 Fax: 636-332-9950
Dr. Michael Lawrence Lee, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1002 Schroeder Creek Blvd, Wentzville, MO 63385 Phone: 314-900-6886
Dr. Lauren M Wagner, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1126 W Pearce Blvd Ste 110, Wentzville, MO 63385 Phone: 636-327-5188 Fax: 636-332-9223
Kristin Nicole Lemaitre, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1000 Schroeder Creek Blvd, Wentzville, MO 63385 Phone: 636-332-4975 Fax: 636-332-4423
Dr. Rasha T Juma, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1032 Crosswinds Ct, Wentzville, MO 63385 Phone: 636-332-8318

Dr Nathan M Johannsson, DDS - Medicare Dentist in Wentzville, MO