Dr Matthew Jeffrey Johnson Jr, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Mooresville, North Carolina. His current practice location is
229 Medical Park Rd Ste 300, Mooresville, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(704) 360-9995.
Dr Matthew Jeffrey Johnson Jr is licensed to practice in North Carolina (license number 2019-02699) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1255710810.
Physician's Profile
| Full Name | Dr Matthew Jeffrey Johnson Jr |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 229 Medical Park Rd Ste 300, Mooresville, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1255710810
- Provider Enumeration Date: 05/28/2015
- Last Update Date: 04/01/2022
Medicare PECOS Information:
- PECOS PAC ID: 4385953843
- Enrollment ID: I20220603002195
Medical Identifiers
Medical identifiers for Dr Matthew Jeffrey Johnson Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255710810 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 2019-02699 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2019-02699 (North Carolina) | 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. Dr Matthew Jeffrey Johnson Jr 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 |
|---|
Dr Matthew Jeffrey Johnson Jr, MD
125 Trade Ct # 26,
Mooresville, NC 28117-5545
Ph: (704) 360-9995 | Dr Matthew Jeffrey Johnson Jr, MD
229 Medical Park Rd Ste 300,
Mooresville, NC 28117-8544
Ph: (704) 360-9995 |
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