Johnna Lee Castedo, DDS is a
Student In An Organized Health Care Education/training Program based in Memphis, Tennessee. Johnna Lee Castedo is licensed to practice in * (Not Available) (license number ) and her current practice location is
875 Union Ave, Memphis, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(901) 448-6210.
NPI number for Johnna Lee Castedo is 1831983576 and her current mailing address is 875 Union Ave, Memphis, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831983576.
Healthcare Provider's Profile
| Full Name | Johnna Lee Castedo |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 875 Union Ave, Memphis, Tennessee |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1831983576
- Provider Enumeration Date: 04/07/2025
- Last Update Date: 06/07/2025
Medical Identifiers
Medical identifiers for Johnna Lee Castedo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831983576 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 12014749A (Indiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Johnna Lee Castedo 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 |
|---|
Johnna Lee Castedo, DDS
875 Union Ave,
Memphis, TN 38103-3513
Ph: (901) 448-6210 | Johnna Lee Castedo, DDS
875 Union Ave,
Memphis, TN 38103-3513
Ph: (901) 448-6210 |
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