Dr Bruce W Johnson, DMD in Poway, CA - Medicare Dentist Provider

Dr Bruce W Johnson, DMD is a medicare enrolled "Dentist - Periodontics" provider in Poway, California. His current practice location is 15708 Pomerado Rd Ste N104, Poway, California. You can reach out to his office (for appointments etc.) via phone at (858) 485-1180.

Dr Bruce W Johnson is licensed to practice in California (license number 29312) 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 1497773485.

Contact Information

	Dr Bruce W Johnson, DMD
	15708 Pomerado Rd Ste N104, Poway, CA 92064
	(858) 485-1180
	(858) 485-1426

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bruce W Johnson
Gender	Male
Speciality	Dentist - Periodontics
Location	15708 Pomerado Rd Ste N104, Poway, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497773485
Provider Enumeration Date: 07/17/2006
Last Update Date: 05/22/2018

Medicare PECOS Information:

PECOS PAC ID: 5698913135
Enrollment ID: I20150519002435

Medical Identifiers

Medical identifiers for Dr Bruce W Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497773485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	29312 (California)	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 Bruce W 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 Bruce W Johnson, DMD Po Box 270769, San Diego, CA 92198-2769 Ph: (858) 485-1180	Dr Bruce W Johnson, DMD 15708 Pomerado Rd Ste N104, Poway, CA 92064 Ph: (858) 485-1180

Reviews and Comments

Dentist in Poway, CA

Dr. Harrison D Fortney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12630 Monte Vista Rd Ste 205, Poway, CA 92064 Phone: 858-485-1290 Fax: 858-675-7485
Dr. Ellen Wonsun Im, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13422 Pomerado Rd Ste 201, Poway, CA 92064 Phone: 410-644-4100
Dr. Rebecca Pilar Mirasol Cataquiz, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 13132 Poway Rd, Ste. B, Poway, CA 92064 Phone: 858-486-2925 Fax: 858-486-2933
Roger Trong Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12915 Pomerado Rd, Poway, CA 92064 Phone: 858-748-5100
Dr. Robert Jeffrey Marcus, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12630 Monte Vista Rd, # 109, Poway, CA 92064 Phone: 858-675-2285 Fax: 858-675-9015
Mimi T Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15706 Pomerado Rd Ste 205, Poway, CA 92064 Phone: 858-674-5954
Dr. Steven Robert Zisook, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 14361 Twisted Branch Rd, Poway, CA 92064 Phone: 858-312-1900 Fax: 858-312-1900

Dr Bruce W Johnson, DMD - Medicare Dentist in Poway, CA