John D Gagnon, DDS is a
Oral & Maxillofacial Surgery based in Wichita, Kansas. John D Gagnon is licensed to practice in Kansas (license number 6850) and his current practice location is
3510 N Ridge Rd, Ste 500, Wichita, Kansas. He can be reached at his office (for appointments etc.) via phone at
(316) 722-0800.
NPI number for John D Gagnon is 1619911641 and his current mailing address is 3510 N Ridge Rd, Ste 500, Wichita, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619911641.
Healthcare Provider's Profile
| Full Name | John D Gagnon |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
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| Location | 3510 N Ridge Rd, Wichita, Kansas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1619911641
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 11/12/2019
Medical Identifiers
Medical identifiers for John D Gagnon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1619911641 | NPI | - | NPPES |
| 116677 | Other | KS | BCBS OF KS |
| 974027 | Other | | UNITED CONCORDIA |
| 100317420A | Medicaid | KS | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 6850 (Kansas) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 6850 (Kansas) | 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. John D Gagnon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
John D Gagnon, DDS 3510 N Ridge Rd, Ste 500, Wichita, KS 67205-1224 Ph: (316) 722-0800 | John D Gagnon, DDS 3510 N Ridge Rd, Ste 500, Wichita, KS 67205-1224 Ph: (316) 722-0800 |
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