Dr Gary Robert Johnson, DDS in Sherman Oaks, CA - Medicare Dentist Provider

Dr Gary Robert Johnson, DDS is a medicare enrolled "Dentist - General Practice" provider in Sherman Oaks, California. His current practice location is 4910 Van Nuys Blvd., Suite 202, Sherman Oaks, California. You can reach out to his office (for appointments etc.) via phone at (818) 981-4824.

Dr Gary Robert Johnson is licensed to practice in California (license number 29606) 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 1023117173.

Contact Information

	Dr Gary Robert Johnson, DDS
	4910 Van Nuys Blvd., Suite 202, Sherman Oaks, CA 91403-1760
	(818) 981-4824
	(818) 981-4096

Healthcare Provider's Profile

Full Name	Dr Gary Robert Johnson
Gender	Male
Speciality	Dentist - General Practice
Location	4910 Van Nuys Blvd., Sherman Oaks, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023117173
Provider Enumeration Date: 09/22/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7810215936
Enrollment ID: I20160104000001

Medical Identifiers

Medical identifiers for Dr Gary Robert Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023117173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	29606 (California)	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 Gary Robert 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
Dr Gary Robert Johnson, DDS 4910 Van Nuys Blvd., Suite 202, Sherman Oaks, CA 91403-1760 Ph: (818) 981-4824	Dr Gary Robert Johnson, DDS 4910 Van Nuys Blvd., Suite 202, Sherman Oaks, CA 91403-1760 Ph: (818) 981-4824

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Dentist in Sherman Oaks, CA

Mr. Tom Vu, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 4955 Van Nuys Blvd, Suite #518, Sherman Oaks, CA 91403 Phone: 818-783-8891 Fax: 818-783-2648
Dr. John Matchett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd Ste 202, Sherman Oaks, CA 91403 Phone: 818-981-4824
Dr. Michelle Pui Han To, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13308 Moorpark St, Sherman Oaks, CA 91423 Phone: 818-789-3844
Michael M Abaian, Dentist Medicare: Medicare Enrolled Practice Location: 4312 Woodman Ave, Sherman Oaks, CA 91423 Phone: 818-788-8787
Dr. George Chin-hua Liu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4910 Van Nuys Blvd, 211, Sherman Oaks, CA 91403 Phone: 818-385-0644 Fax: 818-385-0955
Dr. Oswald Bernard Burstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14652 Ventura Blvd Ste 200, Sherman Oaks, CA 91403 Phone: 818-906-1122 Fax: 818-906-0786

Dr Gary Robert Johnson, DDS - Medicare Dentist in Sherman Oaks, CA