Dr Jaclyn Nicole Johnson, DDS - Medicare Dentist in Kingwood, WV

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Dr Jaclyn Nicole Johnson, DDS is a medicare enrolled "Dentist" provider in Kingwood, West Virginia. Her current practice location is 202 Tunnelton St, Ste 214, Kingwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 329-1989.

Dr Jaclyn Nicole Johnson is licensed to practice in West Virginia (license number 4171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508248022.

Contact Information

Dr Jaclyn Nicole Johnson, DDS
202 Tunnelton St, Ste 214,
Kingwood, WV 26537-1452
(304) 329-1989
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Jaclyn Nicole Johnson
GenderFemale
SpecialityDentist
Location202 Tunnelton St, Kingwood, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508248022
  • Provider Enumeration Date: 06/20/2015
  • Last Update Date: 06/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1850676644
  • Enrollment ID: I20170317000466

Medical Identifiers

Medical identifiers for Dr Jaclyn Nicole Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508248022NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 4171 (West Virginia)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 Jaclyn Nicole 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 AddressPractice Location Address
Dr Jaclyn Nicole Johnson, DDS
202 Tunnelton St, Ste 214,
Kingwood, WV 26537-1452

Ph: (304) 329-1989		Dr Jaclyn Nicole Johnson, DDS
202 Tunnelton St, Ste 214,
Kingwood, WV 26537-1452

Ph: (304) 329-1989

Reviews and Comments


Dentist in Kingwood, WV

Dr. Angela Marie Turner, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 430 Morgantown St, Kingwood, WV 26537
Phone: 304-329-3142    
Ashley Jane Helfer, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 202 Tunnelton St Ste 214, Kingwood, WV 26537
Phone: 304-329-1989    Fax: 304-329-2550
Dr. Christine L Dearth, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 430 Morgantown St, Kingwood, WV 26537
Phone: 304-329-3142    
Dr. Gary Grant Naylor, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 202 Tunnelton St Ste 214, Kingwood, WV 26537
Phone: 304-329-1989    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.