Dr Tessa Jean Johnson, DDS | |
1415 Vermont St, Quincy, IL 62301-3119 | |
(217) 223-5611 | |
(217) 223-5650 |
Full Name | Dr Tessa Jean Johnson |
---|---|
Gender | Female |
Speciality | Dentist |
Location | 1415 Vermont St, Quincy, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487613816 | NPI | - | NPPES |
9177134 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (Illinois) | Primary |
Entity Name | Community Health Centers Of Southeastern Iowa Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255339750 PECOS PAC ID: 4486562527 Enrollment ID: O20040219000446 |
Mailing Address | Practice Location Address |
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Dr Tessa Jean Johnson, DDS 1415 Vermont St, Quincy, IL 62301-3119 Ph: (217) 223-5611 | Dr Tessa Jean Johnson, DDS 1415 Vermont St, Quincy, IL 62301-3119 Ph: (217) 223-5611 |
Dr. Erin Mj Sheffield, D.D.S. Dentist Medicare: Accepting Medicare Assignments Practice Location: 3915 Maine St Ste 3, Quincy, IL 62305 Phone: 217-222-9434 Fax: 217-222-0671 | |
Dr. Janet Elaine Martin, DMD Dentist Medicare: Medicare Enrolled Practice Location: 3740 E Lake Ctr, Suite B, Quincy, IL 62305 Phone: 217-214-4545 Fax: 217-214-4546 | |
Maria L Connoyer, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1415 Vermont St, Quincy, IL 62301 Phone: 217-223-5611 Fax: 217-223-5650 | |
Dr. Francis T Powers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 331 S 36th St Ste 3, Quincy, IL 62301 Phone: 217-223-9137 Fax: 217-224-8199 | |
Jared Crutcher, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3740 E Lake Ctr, Quincy, IL 62305 Phone: 217-214-4545 | |
Dr. Grant Severs, DMD MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 Maine St Ste 2, Quincy, IL 62305 Phone: 217-919-5008 | |
Dr. Mona Hovaizi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4561 Maine St, Quincy, IL 62305 Phone: 217-290-5288 |