Jerrin Johnson, DMD is a medicare enrolled "Dentist" provider in Sanatoga, Pennsylvania. His current practice location is
3000 Van Fleet Cir Apt 207, Sanatoga, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 391-6749.
Jerrin Johnson is licensed to practice in Pennsylvania (license number DS042775) 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 1942819248.
Healthcare Provider's Profile
Full Name | Jerrin Johnson |
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Gender | Male |
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Speciality | Dentist |
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Location | 3000 Van Fleet Cir Apt 207, Sanatoga, Pennsylvania |
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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: 1942819248
- Provider Enumeration Date: 07/23/2020
- Last Update Date: 06/28/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335564137
- Enrollment ID: I20200810002448
Medical Identifiers
Medical identifiers for Jerrin Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1942819248 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS042775 (Pennsylvania) | 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. Jerrin 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 |
Jerrin Johnson, DMD 3000 Van Fleet Cir Apt 207, Sanatoga, PA 19464-3339 Ph: () - | Jerrin Johnson, DMD 3000 Van Fleet Cir Apt 207, Sanatoga, PA 19464-3339 Ph: (215) 391-6749 |
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