Dr Kenneth Johannesen, DDS in Northport, NY

Dr Kenneth Johannesen, DDS is a medicare enrolled "Dentist" provider in Northport, New York. His current practice location is 79 Middleville Rd, Dvamc Northport (160), Northport, New York. You can reach out to his office (for appointments etc.) via phone at (631) 266-6057.

Dr Kenneth Johannesen is licensed to practice in New York (license number 044235) 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 1477507754.

Contact Information

	Dr Kenneth Johannesen, DDS
	79 Middleville Rd, Dvamc Northport (160), Northport, NY 11768-2200
	(631) 266-6057
	(631) 266-6020

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Johannesen
Gender	Male
Speciality	Dentist
Location	79 Middleville Rd, Northport, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477507754
Provider Enumeration Date: 05/20/2006
Last Update Date: 07/12/2007

Medicare PECOS Information:

PECOS PAC ID: 8527244383
Enrollment ID: I20110512000656

Medical Identifiers

Medical identifiers for Dr Kenneth Johannesen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477507754	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	044235 (New York)	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 Kenneth Johannesen 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 Kenneth Johannesen, DDS 79 Middleville Rd, Northport, NY 11768-2200 Ph: () -	Dr Kenneth Johannesen, DDS 79 Middleville Rd, Dvamc Northport (160), Northport, NY 11768-2200 Ph: (631) 266-6057

Reviews and Comments

Dentist in Northport, NY

Dr. Gianna Rose Ferranti, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 19 Winkle Point Road, Northport, NY 11768 Phone: 631-848-8730
Dr. Tiffany Abrishamian, Dentist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Dental Service (160), Northport, NY 11768 Phone: 631-266-6057 Fax: 631-266-6020
Dr. Roger David Curtiss, DDS Dentist Medicare: Medicare Enrolled Practice Location: 299 Main St, Northport, NY 11768 Phone: 631-261-2040 Fax: 631-261-2081
Dr. Jeffrey S Rubin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 265 Main St, Northport, NY 11768 Phone: 631-754-1107
Dr. David A Abroff, Dentist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Vamc Medical Center, Dental Service (160), Northport, NY 11768 Phone: 631-266-6057 Fax: 631-266-6020
Dr. John Everett Cancroft, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 15 Canterbury Dr, Northport, NY 11768 Phone: 631-261-1839
Melvin Breshin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 79 Middleville Rd, Northport, NY 11768 Phone: 631-266-6057

Dr Kenneth Johannesen, DDS - Medicare Dentist in Northport, NY