Dr Jacob Lynn Johnson, DMD is a
Military Health Care Provider based in Sheppard Afb, Texas. Dr Jacob Lynn Johnson is licensed to practice in Texas (license number 34858) and his current practice location is
Bldg 1200, 149g W Hart St, Sheppard Afb, Texas. He can be reached at his office (for appointments etc.) via phone at
(940) 676-4412.
NPI number for Dr Jacob Lynn Johnson is 1982120895 and his current mailing address is 5021 Taft Blvd Apt 3302, Wichita Falls, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982120895.
Healthcare Provider's Profile
| Full Name | Dr Jacob Lynn Johnson |
|---|
| Gender | Male |
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| Speciality | Military Health Care Provider |
|---|
| Location | Bldg 1200, 149g W Hart St, Sheppard Afb, Texas |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982120895
- Provider Enumeration Date: 08/22/2017
- Last Update Date: 08/20/2023
Medical Identifiers
Medical identifiers for Dr Jacob Lynn Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982120895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2017020610 (Missouri) | Secondary |
| 1223G0001X | Dentist - General Practice | 34858 (Texas) | Secondary |
| 171000000X | Military Health Care Provider | 34858 (Texas) | 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 Jacob Lynn Johnson 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 Address | Practice Location Address |
|---|
Dr Jacob Lynn Johnson, DMD
5021 Taft Blvd Apt 3302,
Wichita Falls, TX 76308-5391
Ph: (701) 339-1678 | Dr Jacob Lynn Johnson, DMD
Bldg 1200, 149g W Hart St,
Sheppard Afb, TX 76311-7631
Ph: (940) 676-4412 |
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