Dylan Johnston, is a
Student In An Organized Health Care Education/training Program based in Tulsa, Oklahoma. Dylan Johnston is licensed to practice in * (Not Available) (license number ) and his current practice location is
1111 W 17th St, Tulsa, Oklahoma. He can be reached at his office (for appointments etc.) via phone at
(918) 561-1145.
NPI number for Dylan Johnston is 1609594787 and his current mailing address is 17765 W Triplett Rd, Cashion, Oklahoma. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609594787.
Provider's Profile
| Full Name | Dylan Johnston |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1111 W 17th St, Tulsa, Oklahoma |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1609594787
- Provider Enumeration Date: 08/16/2022
- Last Update Date: 08/16/2022
Medical Identifiers
Medical identifiers for Dylan Johnston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609594787 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dylan Johnston 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 |
|---|
Dylan Johnston,
17765 W Triplett Rd,
Cashion, OK 73016-9694
Ph: (405) 708-8992 | Dylan Johnston,
1111 W 17th St,
Tulsa, OK 74107-1886
Ph: (918) 561-1145 |
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