Dr Denise Roberts Johnson, MD is a
Pediatrics physician based in University City, Missouri. Dr Denise Roberts Johnson is licensed to practice in Missouri (license number R9G45) and her current practice location is 6973 Olive Blvd, University City, Missouri. She can be reached at her office (for appointments etc.) via phone at
(314) 862-7515.
NPI number for Dr Denise Roberts Johnson is 1285793356 and her current mailing address is 6973 Olive Blvd, University City, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1285793356.
Physician's Profile
| Full Name | Dr Denise Roberts Johnson |
|---|
| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 6973 Olive Blvd, University City, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1285793356
- Provider Enumeration Date: 12/06/2006
- Last Update Date: 12/12/2011
Medical Identifiers
Medical identifiers for Dr Denise Roberts Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1285793356 | NPI | - | NPPES |
| 202402210 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208000000X | Pediatrics | R9G45 (Missouri) | Primary |
| 2080A0000X | Pediatrics - Adolescent Medicine | R9G45 (Missouri) | Secondary |
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 Denise Roberts 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 Address | Practice Location Address |
|---|
Dr Denise Roberts Johnson, MD
6973 Olive Blvd,
University City, MO 63130-2540
Ph: (314) 862-7515 | Dr Denise Roberts Johnson, MD
6973 Olive Blvd,
University City, MO 63130-2540
Ph: (314) 862-7515 |
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