Dr Tracy R Johnson, DDS in Lakewood, WA - Medicare Dentist Provider

Dr Tracy R Johnson, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Lakewood, Washington. His current practice location is 9101 Bridgeport Way Sw, Bldg B2, Lakewood, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 584-0858.

Dr Tracy R Johnson is licensed to practice in Washington (license number DE00008961) 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 1548241219.

Contact Information

	Dr Tracy R Johnson, DDS
	9101 Bridgeport Way Sw, Bldg B2, Lakewood, WA 98499-2419
	(253) 584-0858
	(253) 584-1446

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Tracy R Johnson
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	9101 Bridgeport Way Sw, Lakewood, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548241219
Provider Enumeration Date: 11/09/2005
Last Update Date: 01/18/2022

Medicare PECOS Information:

PECOS PAC ID: 1759469646
Enrollment ID: I20080417000241

Medical Identifiers

Medical identifiers for Dr Tracy R Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548241219	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	13638 (Texas)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DE00008961 (Washington)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Tracy R Johnson allows following entities to bill medicare on his behalf.

Entity Name	Tracy R. Johnson, Dds, Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376718957 PECOS PAC ID: 5991874786 Enrollment ID: O20080520000386

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 Tracy R 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 Tracy R Johnson, DDS 9101 Bridgeport Way Sw, Bldg B2, Lakewood, WA 98499-2419 Ph: (253) 584-0858	Dr Tracy R Johnson, DDS 9101 Bridgeport Way Sw, Bldg B2, Lakewood, WA 98499-2419 Ph: (253) 584-0858

Reviews and Comments

Dentist in Lakewood, WA

Dr. Robert T. Fabi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9601 Steilacoom Blvd Sw, Lakewood, WA 98498 Phone: 253-582-8900
Dr. Stephen R. Styskal, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8404 83rd Ave Sw, Suite A, Lakewood, WA 98498 Phone: 253-588-3030
Dr. Scott R Olsen, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7424 Bridgeport Way W, Lakewood, WA 98499 Phone: 253-581-2112 Fax: 253-240-2102
Jae Rhee, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10510 Gravelly Lake Dr Sw Ste 100, Lakewood, WA 98499 Phone: 253-589-7030 Fax: 253-284-4384
Dr. Damjan Jutric, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10828 Gravelly Lake Dr Sw Ste 111, Lakewood, WA 98499 Phone: 253-584-3121
Thi D Nguyen, DDS, PS, FICOI Dentist Medicare: Not Enrolled in Medicare Practice Location: 10025 Gravelly Lake Dr Sw, Lakewood, WA 98499 Phone: 253-582-1611 Fax: 253-582-1612
Dr. James Michael Thoren, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10510 Gravelly Lake Drive, Community Health Care - Lakewood Dental, Lakewood, WA 98499 Phone: 253-589-7188 Fax: 253-284-4384

Dr Tracy R Johnson, DDS - Medicare Dentist in Lakewood, WA