Brock Allen Johnsen, DDS - Dentist in Shelby, MI

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Brock Allen Johnsen, DDS is a Dentist based in Shelby, Michigan. Brock Allen Johnsen is licensed to practice in Michigan (license number 15042) and his current practice location is 4140 W Shelby Rd, Shelby, Michigan. He can be reached at his office (for appointments etc.) via phone at (231) 861-4858.

NPI number for Brock Allen Johnsen is 1114068616 and his current mailing address is 4140 Shelby Rd, Shelby, Michigan. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1114068616.

Contact Information

Brock Allen Johnsen, DDS
4140 W Shelby Rd,
Shelby, MI 49455-9660
(231) 861-4858
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameBrock Allen Johnsen
GenderMale
SpecialityDentist
Location4140 W Shelby Rd, Shelby, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1114068616
  • Provider Enumeration Date: 02/09/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Brock Allen Johnsen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114068616NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 15042 (Michigan)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. Brock Allen Johnsen 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 AddressPractice Location Address
Brock Allen Johnsen, DDS
4140 Shelby Rd,
Shelby, MI 49455

Ph: (231) 861-4858		Brock Allen Johnsen, DDS
4140 W Shelby Rd,
Shelby, MI 49455-9660

Ph: (231) 861-4858

Reviews and Comments


Dentist in Shelby, MI


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.