Dr Anthony Johnson, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Canton, Ohio. His current practice location is
1320 Mercy Dr Nw, Canton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 471-5950.
Dr Anthony Johnson is licensed to practice in Ohio (license number RES.3321) 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 1689095911.
Healthcare Provider's Profile
Full Name | Dr Anthony Johnson |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1320 Mercy Dr Nw, Canton, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1689095911
- Provider Enumeration Date: 01/06/2014
- Last Update Date: 01/06/2014
Medicare PECOS Information:
- PECOS PAC ID: 0749573426
- Enrollment ID: I20160719001875
Medical Identifiers
Medical identifiers for Dr Anthony Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689095911 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 30.023931 (Ohio) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | RES.3321 (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. Dr Anthony 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 Anthony Johnson, DDS 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 471-5950 | Dr Anthony Johnson, DDS 1320 Mercy Dr Nw, Canton, OH 44708-2614 Ph: (330) 471-5950 |
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