Dr Lawrence Gunnar Johanson, DDS in Mckinleyville, CA - Medicare Dentist Provider

Dr Lawrence Gunnar Johanson, DDS is a medicare enrolled "Dentist - General Practice" provider in Mckinleyville, California. His current practice location is 1661 Pickett Rd, Mckinleyville, California. You can reach out to his office (for appointments etc.) via phone at (707) 839-3227.

Dr Lawrence Gunnar Johanson is licensed to practice in California (license number 18244) 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 1467505271.

Contact Information

	Dr Lawrence Gunnar Johanson, DDS
	1661 Pickett Rd, Mckinleyville, CA 95519-3914
	(707) 839-3227
	(707) 839-0844

Healthcare Provider's Profile

Full Name	Dr Lawrence Gunnar Johanson
Gender	Male
Speciality	Dentist - General Practice
Location	1661 Pickett Rd, Mckinleyville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467505271
Provider Enumeration Date: 01/18/2007
Last Update Date: 06/24/2020

Medicare PECOS Information:

PECOS PAC ID: 6507163805
Enrollment ID: I20160331002393

Medical Identifiers

Medical identifiers for Dr Lawrence Gunnar Johanson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467505271	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	18244 (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 Lawrence Gunnar Johanson 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 Lawrence Gunnar Johanson, DDS 1661 Pickett Rd, P O Box 2368, Mckinleyville, CA 95519-3914 Ph: (707) 839-3227	Dr Lawrence Gunnar Johanson, DDS 1661 Pickett Rd, Mckinleyville, CA 95519-3914 Ph: (707) 839-3227

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Dentist in Mckinleyville, CA

Mr. Fredrick Anthony Johnson Ii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1955 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-1100
Dr. S Shaun Johanson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1661 Pickett Rd, Mckinleyville, CA 95519 Phone: 707-839-3227
Dr. Gregory Thomas Mellon, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1737 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-3262 Fax: 707-839-3275
Mr. Allen R Ehlers, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1585 Heartwood Dr, Suite B, Mckinleyville, CA 95519 Phone: 707-839-3284 Fax: 707-839-2910
Timothy Roettger, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1955 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-1100

Dr Lawrence Gunnar Johanson, DDS - Medicare Dentist in Mckinleyville, CA