Johana Kutrolli, DDS in Tallahassee, FL - Medicare Dentist Provider

Johana Kutrolli, DDS is a medicare enrolled "Dentist" provider in Tallahassee, Florida. Her current practice location is 1415 Governors Square Blvd, Tallahassee, Florida. You can reach out to her office (for appointments etc.) via phone at (850) 688-9095.

Johana Kutrolli is licensed to practice in Florida (license number DN24526) 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 1780230896.

Contact Information

	Johana Kutrolli, DDS
	1415 Governors Square Blvd, Tallahassee, FL 32301-3049
	(850) 688-9095
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Johana Kutrolli
Gender	Female
Speciality	Dentist
Location	1415 Governors Square Blvd, Tallahassee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780230896
Provider Enumeration Date: 08/14/2019
Last Update Date: 08/14/2019

Medicare PECOS Information:

PECOS PAC ID: 3274905849
Enrollment ID: I20230207003180

Medical Identifiers

Medical identifiers for Johana Kutrolli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780230896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN24526 (Florida)	Primary

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. Johana Kutrolli allows following entities to bill medicare on her behalf.

Entity Name	Newark Community Health Centers Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740345693 PECOS PAC ID: 2163334665 Enrollment ID: O20090729000539

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. Johana Kutrolli 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
Johana Kutrolli, DDS 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 Ph: (718) 350-6774	Johana Kutrolli, DDS 1415 Governors Square Blvd, Tallahassee, FL 32301-3049 Ph: (850) 688-9095

Reviews and Comments

Dentist in Tallahassee, FL

Dr. Reza Michael Barry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3051 Highland Oaks Ter, Suite 4, Tallahassee, FL 32301 Phone: 850-656-3917
George M Jusu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3120 Mahan Drive, Tallahassee, FL 32308 Phone: 217-540-8386
Dr. Bruce Arthur Woodruff, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2880 Capital Medical Blvd, Suite 1, Tallahassee, FL 32308 Phone: 850-309-0095
Dr. Ronald Gordan Willis Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2470 Care Dr, Tallahassee, FL 32308 Phone: 850-877-5151
Dr. Walter E. Colon Ii, D.M.D.,M.S.DIPLOMATE Dentist Medicare: Not Enrolled in Medicare Practice Location: 1614 W Plaza Dr, Tallahassee, FL 32308 Phone: 850-562-6111 Fax: 850-562-7263
Dr. Marion Samuel Cooper, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2027 Thomasville Rd, Suite 101, Tallahassee, FL 32308 Phone: 850-385-0231 Fax: 850-385-9230
Dr. Michael Clifford Hartley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1305 Thomaswood Dr, Tallahassee, FL 32308 Phone: 850-386-2400 Fax: 850-386-8181

Johana Kutrolli, DDS - Medicare Dentist in Tallahassee, FL