Dr Michael Alan Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Geneva, Indiana. His current practice location is
447 E Line St, Geneva, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 368-7500.
Dr Michael Alan Johnson is licensed to practice in Indiana (license number 12010412) 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 1073736674.
Healthcare Provider's Profile
Full Name | Dr Michael Alan Johnson |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 447 E Line St, Geneva, Indiana |
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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: 1073736674
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8426348046
- Enrollment ID: I20160609000802
Medical Identifiers
Medical identifiers for Dr Michael Alan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073736674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12010412 (Indiana) | 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 Michael Alan 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 Michael Alan Johnson, DDS 6204 W 300 S-1 # South-1, Bluffton, IN 46714-9516 Ph: (260) 565-4506 | Dr Michael Alan Johnson, DDS 447 E Line St, Geneva, IN 46740-8936 Ph: (260) 368-7500 |
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