Dr Jack Capodice Jr, MD, DMD in Bloomington, IL - Medicare Oral Surgery Provider

Dr Jack Capodice Jr, MD, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Pathology" provider in Bloomington, Illinois. He went to University Of Missouri, Columbia School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Capodice Efaw Ocheltree And Elger Pllc and his current practice location is 109 N Regency Dr, Bloomington, Illinois. You can reach out to his office (for appointments etc.) via phone at (309) 663-2526.

Dr Jack Capodice Jr is licensed to practice in Illinois (license number 019022744) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053397612.

Contact Information

	Dr Jack Capodice Jr, MD, DMD
	109 N Regency Dr, Bloomington, IL 61701-3515
	(309) 663-2526
	(309) 663-4788

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jack Capodice Jr
Gender	Male
Speciality	Oral Surgery
Experience	34 Years
Location	109 N Regency Dr, Bloomington, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Jack Capodice Jr attended and graduated from University Of Missouri, Columbia School Of Medicine in 1990

NPI Data:

NPI Number: 1053397612
Provider Enumeration Date: 12/15/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 2668420860
Enrollment ID: I20050105000094

Medical Identifiers

Medical identifiers for Dr Jack Capodice Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053397612	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0106X	Dentist - Oral And Maxillofacial Pathology	019022744 (Illinois)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Capodice Efaw Ocheltree And Elger Pllc	5597713792	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jack Capodice Jr allows following entities to bill medicare on his behalf.

Entity Name	Capodice Efaw Ocheltree & Elger Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710985759 PECOS PAC ID: 5597713792 Enrollment ID: O20050104001014

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 Jack Capodice 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 Jack Capodice Jr, MD, DMD 109 N Regency Dr, Bloomington, IL 61701-3515 Ph: (309) 663-2526	Dr Jack Capodice Jr, MD, DMD 109 N Regency Dr, Bloomington, IL 61701-3515 Ph: (309) 663-2526

Reviews and Comments

Dentist in Bloomington, IL

Dr. Michael Allen Pauley, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2103 E Washington St, Suite 3, Bloomington, IL 61701 Phone: 309-662-6660 Fax: 309-664-6044
Dr. Kirk William Noraian, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 105 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-663-4577 Fax: 306-663-2854
Brock Gardner, Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 S Prospect Rd, Bloomington, IL 61704 Phone: 309-808-6263
Johnny J Hernandez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Heartland Dr, Suite A, Bloomington, IL 61704 Phone: 309-662-0523 Fax: 309-662-7693
Dr. Uzma S. Hatia, DDS Dentist Medicare: Medicare Enrolled Practice Location: 507 N Hershey Rd Ste D, Bloomington, IL 61704 Phone: 309-661-0197 Fax: 309-663-0967
Dr. Bruce Woodruff Anderson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2310 E Oakland Ave Ste 13a, Bloomington, IL 61701 Phone: 309-662-1612 Fax: 309-662-0610

Dr Jack Capodice Jr, MD, DMD - Medicare Dentist in Bloomington, IL