Kissendrah Sue Johnson, - Dentist in Isleta, NM

Kissendrah Sue Johnson, is a Dentist based in Isleta, New Mexico. Kissendrah Sue Johnson is licensed to practice in New Mexico (license number DD4977) and her current practice location is 01 Sagebrush Street, Isleta, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 869-4866.

NPI number for Kissendrah Sue Johnson is 1124502984 and her current mailing address is Po Box 640, Isleta, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124502984.

Contact Information

Kissendrah Sue Johnson,
01 Sagebrush Street,
Isleta, NM 87022
(505) 869-4866
(502) 869-4881

Map and Direction




Healthcare Provider's Profile

Full NameKissendrah Sue Johnson
GenderFemale
SpecialityDentist
Location01 Sagebrush Street, Isleta, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124502984
  • Provider Enumeration Date: 09/18/2018
  • Last Update Date: 09/18/2018

Medical Identifiers

Medical identifiers for Kissendrah Sue Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124502984NPI-NPPES
DD4977OtherNMLICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist DD4977 (New Mexico)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. Kissendrah Sue Johnson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kissendrah Sue Johnson,
Po Box 640,
Isleta, NM 87022-0640

Ph: (505) 869-3200
Kissendrah Sue Johnson,
01 Sagebrush Street,
Isleta, NM 87022

Ph: (505) 869-4866

Reviews and Comments


Dentist in Isleta, NM

Dr. Devin Kyle Giron, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 01 Sagebrush Street, Isleta, NM 87022
Phone: 506-869-3200    Fax: 505-869-4881
Stephen Hubbert, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 01 Sagebrush, Isleta, NM 87022
Phone: 505-869-4863    Fax: 505-869-4881
Dr. John James Richter Iii, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1 Sagebrush St, Isleta, NM 87022
Phone: 505-869-4499    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.