Dr James Kevin Jetton, DDS in Yucaipa, CA - Medicare Dentist Provider

Dr James Kevin Jetton, DDS is a medicare enrolled "Dentist" provider in Yucaipa, California. His current practice location is Yucaipa Valley Spanish Sda Church, 12504 4th St, Yucaipa, California. You can reach out to his office (for appointments etc.) via phone at (909) 518-4133.

Dr James Kevin Jetton is licensed to practice in California (license number 33939) 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 1295775252.

Contact Information

	Dr James Kevin Jetton, DDS
	Yucaipa Valley Spanish Sda Church, 12504 4th St, Yucaipa, CA 92399
	(909) 518-4133
	(909) 790-7206

Map and Direction

Healthcare Provider's Profile

Full Name	Dr James Kevin Jetton
Gender	Male
Speciality	Dentist
Location	Yucaipa Valley Spanish Sda Church, Yucaipa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295775252
Provider Enumeration Date: 06/07/2006
Last Update Date: 09/27/2018

Medicare PECOS Information:

PECOS PAC ID: 8921305608
Enrollment ID: I20160323001695

Medical Identifiers

Medical identifiers for Dr James Kevin Jetton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295775252	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	33939 (California)	Primary

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 James Kevin Jetton allows following entities to bill medicare on his behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

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 James Kevin Jetton 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 James Kevin Jetton, DDS 37441 Ironwood Dr, Yucaipa, CA 92399-7024 Ph: (909) 518-4133	Dr James Kevin Jetton, DDS Yucaipa Valley Spanish Sda Church, 12504 4th St, Yucaipa, CA 92399 Ph: (909) 518-4133

Reviews and Comments

Dentist in Yucaipa, CA

Dr. Neal Antonio Johnson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 34366 Yucaipa Blvd Ste K, Yucaipa, CA 92399 Phone: 909-797-9247 Fax: 909-354-3767
Steven Mark Wolfram, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 11834 Bryant St, Suite #104, Yucaipa, CA 92399 Phone: 909-797-1452 Fax: 909-790-0702
Dr. Mauricio Dossantos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12033 4th St Ste 7, Yucaipa, CA 92399 Phone: 909-790-1951 Fax: 909-790-1561
Dr. Richard Robert Ramos, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 34636 County Line Rd Ste 19, Yucaipa, CA 92399 Phone: 909-795-2585 Fax: 909-795-0046
Dr. Nathaniel Wen-wei Leng, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 34880 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-797-1136
Dr. Craig Jackson Wright, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 33490 Oak Glen Rd Ste F, Yucaipa, CA 92399 Phone: 909-790-9300 Fax: 909-797-2600
Dr. Sudhakar R Chokka, DDS Dentist Medicare: Medicare Enrolled Practice Location: 34880 Yucaipa Blvd, Yucaipa, CA 92399 Phone: 909-797-1136 Fax: 909-797-9866

Dr James Kevin Jetton, DDS - Medicare Dentist in Yucaipa, CA