Dr Malrie Emmitt Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Mayodan, North Carolina. His current practice location is
603 Ayersville Road, Mayodan, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 427-8544.
Dr Malrie Emmitt Johnson is licensed to practice in North Carolina (license number 5024) 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 1669557500.
Healthcare Provider's Profile
Full Name | Dr Malrie Emmitt Johnson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 603 Ayersville Road, Mayodan, North Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1669557500
- Provider Enumeration Date: 10/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8628381720
- Enrollment ID: I20150718000089
Medical Identifiers
Medical identifiers for Dr Malrie Emmitt Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669557500 | NPI | - | NPPES |
8994643 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5024 (North Carolina) | 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 Malrie Emmitt 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 Malrie Emmitt Johnson, DDS 603 Ayersville Road, Mayodan, NC 27027 Ph: (336) 427-8544 | Dr Malrie Emmitt Johnson, DDS 603 Ayersville Road, Mayodan, NC 27027 Ph: (336) 427-8544 |
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