Dr Richard Lee Johnson, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Sheppard Afb, Texas. His current practice location is
82 Medical Group/credentials, 149 Hart Street, Sheppard Afb, Texas. You can reach out to his office (for appointments etc.) via phone at
(940) 676-2003.
Dr Richard Lee Johnson is licensed to practice in Tennessee (license number MD0000035690) 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 1174509665.
Healthcare Provider's Profile
Full Name | Dr Richard Lee Johnson |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 82 Medical Group/credentials, Sheppard Afb, Texas |
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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: 1174509665
- Provider Enumeration Date: 12/16/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2860710662
- Enrollment ID: I20150407001296
Medical Identifiers
Medical identifiers for Dr Richard Lee Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174509665 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DS0000005348 (Tennessee) | Primary |
204E00000X | Oral & Maxillofacial Surgery | MD0000035690 (Tennessee) | 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 Richard Lee 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 Richard Lee Johnson, DDS, MD 5110 Crown Ridge Dr, Wichita Falls, TX 76310-1768 Ph: (940) 689-8896 | Dr Richard Lee Johnson, DDS, MD 82 Medical Group/credentials, 149 Hart Street, Sheppard Afb, TX 76311-3482 Ph: (940) 676-2003 |
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