Dr Brent Johansen, DDS is a medicare enrolled "Dentist - General Practice" provider in Blanding, Utah. His current practice location is
212 S 200 E, Blanding, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 678-3440.
Dr Brent Johansen is licensed to practice in Utah (license number 139612-9922) 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 1225189723.
Healthcare Provider's Profile
Full Name | Dr Brent Johansen |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 212 S 200 E, Blanding, Utah |
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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: 1225189723
- Provider Enumeration Date: 01/13/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8820393374
- Enrollment ID: I20160222002763
Medical Identifiers
Medical identifiers for Dr Brent Johansen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225189723 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 139612-9922 (Utah) | 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 Brent Johansen 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 Brent Johansen, DDS 212 S 200 E, Blanding, UT 84511-2926 Ph: (435) 678-3440 | Dr Brent Johansen, DDS 212 S 200 E, Blanding, UT 84511-2926 Ph: (435) 678-3440 |
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