Sonja Johnson, DDS in Phoenix, AZ - Medicare Dentist Provider

Sonja Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Phoenix, Arizona. Her current practice location is 635 E Baseline Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 243-7277.

Sonja Johnson is licensed to practice in Arizona (license number D04696) 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 1104916824.

Contact Information

	Sonja Johnson, DDS
	635 E Baseline Rd, Phoenix, AZ 85042-6551
	(602) 243-7277
	(602) 243-1235

Map and Direction

Healthcare Provider's Profile

Full Name	Sonja Johnson
Gender	Female
Speciality	Dentist - General Practice
Location	635 E Baseline Rd, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104916824
Provider Enumeration Date: 10/13/2006
Last Update Date: 12/19/2018

Medicare PECOS Information:

PECOS PAC ID: 8527346295
Enrollment ID: I20161031002535

Medical Identifiers

Medical identifiers for Sonja Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104916824	NPI	-	NPPES
368771	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D04696 (Arizona)	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. Sonja Johnson allows following entities to bill medicare on her behalf.

Entity Name	Mountain Park Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558308825 PECOS PAC ID: 8325949647 Enrollment ID: O20040119000460

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. Sonja 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
Sonja Johnson, DDS 635 E Baseline Rd, Phoenix, AZ 85042-6551 Ph: (602) 243-7277	Sonja Johnson, DDS 635 E Baseline Rd, Phoenix, AZ 85042-6551 Ph: (602) 243-7277

Reviews and Comments

Dentist in Phoenix, AZ

Dr. Bogdan Michael Kulikowski, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 15215 S 48th Street, Suite #158, Phoenix, AZ 85044 Phone: 480-598-3006 Fax: 480-598-1184
Lonnie Chris Eckman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7725 N 43rd Ave Ste No711, Phoenix, AZ 85051 Phone: 623-931-8898 Fax: 623-930-1182
Thuy B Ngo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4550 E. Bell Rd., #102, Phoenix, AZ 85032 Phone: 602-485-1588 Fax: 602-707-9740
Dr. Jeremy John Liddiard, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 12005 N Tatum Blvd, Suite 105, Phoenix, AZ 85028 Phone: 602-971-0026
Dr. Amanda Rafi, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 267 E Bell Rd Ste 3, Phoenix, AZ 85022 Phone: 602-993-6000
Jessica Lynne Giles, DMD Dentist Medicare: Medicare Enrolled Practice Location: 6601 W Thomas Rd, Phoenix, AZ 85033 Phone: 602-243-7277 Fax: 623-247-9742
Aaron Sanchez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3540 W Camelback Rd, Phoenix, AZ 85019 Phone: 602-427-4070

Sonja Johnson, DDS - Medicare Dentist in Phoenix, AZ