Dr Keith Emmett Johnson, DDS in Edina, MN - Medicare Dentist Provider

Dr Keith Emmett Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Edina, Minnesota. His current practice location is 3300 Edinborough Way, Suite 210, Edina, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 831-1112.

Dr Keith Emmett Johnson is licensed to practice in Minnesota (license number 8956) 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 1427111921.

Contact Information

	Dr Keith Emmett Johnson, DDS
	3300 Edinborough Way, Suite 210, Edina, MN 55435-5958
	(952) 831-1112
	(952) 831-1839

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Keith Emmett Johnson
Gender	Male
Speciality	Dentist - General Practice
Location	3300 Edinborough Way, Edina, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427111921
Provider Enumeration Date: 12/18/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 3678852605
Enrollment ID: I20161116000315

Medical Identifiers

Medical identifiers for Dr Keith Emmett Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427111921	NPI	-	NPPES
13439PA	Other		BCBS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	8956 (Minnesota)	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 Keith Emmett 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 Keith Emmett Johnson, DDS 3300 Edinborough Way, Suite 210, Edina, MN 55435-5958 Ph: (952) 831-1112	Dr Keith Emmett Johnson, DDS 3300 Edinborough Way, Suite 210, Edina, MN 55435-5958 Ph: (952) 831-1112

Reviews and Comments

Dentist in Edina, MN

Steven T Maroney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5100 Eden Ave, #209, Edina, MN 55436 Phone: 952-929-0641 Fax: 952-929-1802
Dr. Michele Ann Reynolds, D.D.S.,M.S. Dentist Medicare: Medicare Enrolled Practice Location: 6545 France Ave S, Suite 665 Southdale Medical Building, Edina, MN 55435 Phone: 952-927-8694
Dr. Janet Amy Zingale, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3930 Sunnyside Rd, Edina, MN 55424 Phone: 952-929-9131
Dr. David John Clay, DDS MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6545 France Ave S, Suite 680, Edina, MN 55435 Phone: 952-922-5326 Fax: 952-922-5367
Robert Luther Bodin, Dentist Medicare: Not Enrolled in Medicare Practice Location: 5100 Eden Ave, Edina, MN 55436 Phone: 952-929-0641
Dr. Mary Elizabeth Johnson, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 6545 France Ave S, Suite 665, Edina, MN 55435 Phone: 952-927-8694 Fax: 952-927-8695
Dr. Craig Freeman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7373 France Ave S Ste 500, Edina, MN 55435 Phone: 952-831-2800

Dr Keith Emmett Johnson, DDS - Medicare Dentist in Edina, MN