Dr Samantha Ryan Johnson, DDS - Medicare Dentist in Delavan, WI

Dr Samantha Ryan Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Delavan, Wisconsin. Her current practice location is 1624 Hobbs Dr Ste 2, Delavan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 740-1010.

Dr Samantha Ryan Johnson is licensed to practice in Wisconsin (license number 1001830-15) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205324688.

Contact Information

Dr Samantha Ryan Johnson, DDS
1624 Hobbs Dr Ste 2,
Delavan, WI 53115-2000
(262) 740-1010
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Samantha Ryan Johnson
GenderFemale
SpecialityDentist - General Practice
Location1624 Hobbs Dr Ste 2, Delavan, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205324688
  • Provider Enumeration Date: 05/01/2018
  • Last Update Date: 06/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133462971
  • Enrollment ID: I20211006002592

Medical Identifiers

Medical identifiers for Dr Samantha Ryan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205324688NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 1001830 (Wisconsin)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
1223G0001XDentist - General Practice 1001830-15 (Wisconsin)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 Samantha Ryan 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 AddressPractice Location Address
Dr Samantha Ryan Johnson, DDS
1624 Hobbs Dr Ste 2,
Delavan, WI 53115-2000

Ph: (262) 740-1010
Dr Samantha Ryan Johnson, DDS
1624 Hobbs Dr Ste 2,
Delavan, WI 53115-2000

Ph: (262) 740-1010

Reviews and Comments


Dentist in Delavan, WI

Dr. Michael J. Sherman, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1221 Phoenix St, Delavan, WI 53115
Phone: 262-728-6437    
Dr. Benjamin S Johnson, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 134 S 4th St, Delavan, WI 53115
Phone: 262-728-9330    Fax: 262-728-0172
Emily Scheff Taibl,
Dentist
Medicare: Medicare Enrolled
Practice Location: 1624 Hobbs Dr, Suite 2, Delavan, WI 53115
Phone: 262-740-1010    
Dr. John P Howland, DDS MS PC
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1421a Racine St, Delavan, WI 53115
Phone: 262-728-1588    Fax: 262-728-4073
Dr. Amar Pattani, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 134 S 4th St, Delavan, WI 53115
Phone: 262-728-9330    
Dr. Jeffrey J. Winn, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 962 E Wisconsin St, Delavan, WI 53115
Phone: 262-728-9330    Fax: 262-728-0172

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.