Dr Thomas B Johnson, DMD is a medicare enrolled "Dentist" provider in Kettle Falls, Washington. His current practice location is
130 W 10th Ave, Kettle Falls, Washington. You can reach out to his office (for appointments etc.) via phone at
(509) 738-6880.
Dr Thomas B Johnson is licensed to practice in Washington (license number DE00011072) 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 1558555821.
Healthcare Provider's Profile
| Full Name | Dr Thomas B Johnson |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 130 W 10th Ave, Kettle Falls, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1558555821
- Provider Enumeration Date: 08/30/2007
- Last Update Date: 01/06/2026
Medicare PECOS Information:
- PECOS PAC ID: 5092012161
- Enrollment ID: I20160504001496
Medical Identifiers
Medical identifiers for Dr Thomas B Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1558555821 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | DE00011072 (Washington) | 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 Thomas B 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 Thomas B Johnson, DMD 130 W 10th Ave, Kettle Falls, WA 99141-8666 Ph: (509) 738-6880 | Dr Thomas B Johnson, DMD 130 W 10th Ave, Kettle Falls, WA 99141-8666 Ph: (509) 738-6880 |
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