Lane Johnson, in Travis Afb, CA - Medicare Dentist Provider

Lane Johnson, is a medicare enrolled "Dentist" provider in Travis Afb, California. Her current practice location is 151 Bodin Cir, Travis Afb, California. You can reach out to her office (for appointments etc.) via phone at (207) 939-4284.

Lane Johnson is licensed to practice in Ohio (license number 30.24851) 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 1639623366.

Contact Information

	Lane Johnson,
	151 Bodin Cir, Travis Afb, CA 94535-1801
	(207) 939-4284
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lane Johnson
Gender	Female
Speciality	Dentist
Location	151 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639623366
Provider Enumeration Date: 08/11/2016
Last Update Date: 08/11/2016

Medicare PECOS Information:

PECOS PAC ID: 2062758600
Enrollment ID: I20190117003972

Medical Identifiers

Medical identifiers for Lane Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639623366	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	30.24851 (Ohio)	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. Lane 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
Lane Johnson, 151 Bodin Cir, Travis Afb, CA 94535-1801 Ph: (207) 939-4284	Lane Johnson, 151 Bodin Cir, Travis Afb, CA 94535-1801 Ph: (207) 939-4284

Reviews and Comments

Dentist in Travis Afb, CA

Catherine Celine Branstetter, Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7085
Landen Broadhead, Dentist Medicare: Not Enrolled in Medicare Practice Location: 151 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7000
Dr. Thomas Francis Kelly, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin St, 60th Dental Squadron, Travis Afb, CA 94535 Phone: 707-423-7085
Dr. Teresa Ellen Reeves, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 60 Mdg/sgdd, 101 Bodin Circle, Travis Afb, Travis Afb, CA 94535 Phone: 707-423-7008
Dr. Heather Norton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7008
Dr. Edward Francis Mitnitsky, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, 60th Dental Squadron/sgdt, Travis Afb, CA 94535 Phone: 707-423-7072
Dr. Brian David Lunt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-7085

Lane Johnson, - Medicare Dentist in Travis Afb, CA