Kadeem David Johnson, is a
Skilled Nursing Facility based in Wallingford, Connecticut. Kadeem David Johnson is licensed to practice in * (Not Available) (license number ) and his current practice location is
35 Mark Drive, Wallingford, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(203) 265-0981.
NPI number for Kadeem David Johnson is 1194286005 and his current mailing address is 2 Park Pl Apt 18e, Hartford, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194286005.
Healthcare Provider's Profile
Full Name | Kadeem David Johnson |
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Gender | Male |
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Speciality | Skilled Nursing Facility |
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Location | 35 Mark Drive, Wallingford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194286005
- Provider Enumeration Date: 03/26/2019
- Last Update Date: 07/10/2023
Medical Identifiers
Medical identifiers for Kadeem David Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194286005 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
314000000X | Skilled Nursing Facility | (* (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. Kadeem David Johnson 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 |
Kadeem David Johnson, 2 Park Pl Apt 18e, Hartford, CT 06106-5016 Ph: () - | Kadeem David Johnson, 35 Mark Drive, Wallingford, CT 06492 Ph: (203) 265-0981 |
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