Dr Bradley K Jeren, DDS is a medicare enrolled "Dentist" provider in Lake Milton, Ohio. His current practice location is
17991 Mahoning Ave, Lake Milton, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 654-3253.
Dr Bradley K Jeren is licensed to practice in Ohio (license number OH17658) 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 1538177431.
Healthcare Provider's Profile
Full Name | Dr Bradley K Jeren |
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Gender | Male |
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Speciality | Dentist |
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Location | 17991 Mahoning Ave, Lake Milton, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1538177431
- Provider Enumeration Date: 08/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2860783164
- Enrollment ID: I20160616001154
Medical Identifiers
Medical identifiers for Dr Bradley K Jeren such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538177431 | NPI | - | NPPES |
0591622 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | OH17658 (Ohio) | 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 Bradley K Jeren 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 Bradley K Jeren, DDS 17991 Mahoning Ave, Lake Milton, OH 44429 Ph: (330) 654-3253 | Dr Bradley K Jeren, DDS 17991 Mahoning Ave, Lake Milton, OH 44429 Ph: (330) 654-3253 |
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