Dr Mary Beth Johnson, DDS in Polacca, AZ - Medicare Dentist Provider

Dr Mary Beth Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Polacca, Arizona. Her current practice location is Hwy 264, Mp 388, Polacca, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 737-6162.

Dr Mary Beth Johnson is licensed to practice in Ohio (license number 30020478) 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 1437292570.

Contact Information

	Dr Mary Beth Johnson, DDS
	Hwy 264, Mp 388, Polacca, AZ 86042
	(928) 737-6162
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mary Beth Johnson
Gender	Female
Speciality	Dentist - General Practice
Location	Hwy 264, Mp 388, Polacca, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437292570
Provider Enumeration Date: 02/15/2007
Last Update Date: 06/26/2009

Medicare PECOS Information:

PECOS PAC ID: 3779849633
Enrollment ID: I20171108002878

Medical Identifiers

Medical identifiers for Dr Mary Beth Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437292570	NPI	-	NPPES
420456	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	30020478 (Ohio)	Primary
1223P0221X	Dentist - Pediatric Dentistry	30-020478 (Ohio)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Mary Beth Johnson allows following entities to bill medicare on her behalf.

Entity Name	Tuba City Regional Health Care Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548294424 PECOS PAC ID: 4284542531 Enrollment ID: O20031105000107

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 Mary Beth 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 Mary Beth Johnson, DDS Hopi Health Care Center Keams Canyon S.u., Po Box 4000, Polacca, AZ 86042 Ph: () -	Dr Mary Beth Johnson, DDS Hwy 264, Mp 388, Polacca, AZ 86042 Ph: (928) 737-6162

Reviews and Comments

Dentist in Polacca, AZ

Dr. Claudia Gail Von Hendricks, DDS Dentist Medicare: Medicare Enrolled Practice Location: Hopi Health Care Center, Hwy 264 Mm 388, Polacca, AZ 86042 Phone: 928-737-6160 Fax: 928-737-6168
Dr. Gregory Stephen Sikora, D.M.D., M.B.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: State Hwy 264, Mile Marker 388, Polacca, AZ 86042 Phone: 928-737-6165
Dr. Gary Alan Wilson, DDS Dentist Medicare: Medicare Enrolled Practice Location: Highway 264, Milepost 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6168
Nazila Mirza Bagheri, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Mp 388 Highway 264, Polacca, AZ 86042 Phone: 928-737-6165
Dr. Margaret Ann Quiller, DDS Dentist Medicare: Medicare Enrolled Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 928-737-6168
Dr. Victor M. Mok, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Highway 264, Mp 388, Polacca, AZ 86042 Phone: 928-737-6000 Fax: 505-722-1565

Dr Mary Beth Johnson, DDS - Medicare Dentist in Polacca, AZ