Dr Jeremy Keith Masenior, DDS in Princess Anne, MD

Dr Jeremy Keith Masenior, DDS is a medicare enrolled "Dentist - General Practice" provider in Princess Anne, Maryland. His current practice location is 12165 Elm St, Princess Anne, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 651-5151.

Dr Jeremy Keith Masenior is licensed to practice in Maryland (license number 15315) 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 1740508613.

Contact Information

	Dr Jeremy Keith Masenior, DDS
	12165 Elm St, Princess Anne, MD 21853-1358
	(410) 651-5151
	(410) 651-4256

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeremy Keith Masenior
Gender	Male
Speciality	Dentist - General Practice
Location	12165 Elm St, Princess Anne, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740508613
Provider Enumeration Date: 05/17/2010
Last Update Date: 03/14/2016

Medicare PECOS Information:

PECOS PAC ID: 4789974130
Enrollment ID: I20160526001373

Medical Identifiers

Medical identifiers for Dr Jeremy Keith Masenior such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740508613	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	15315 (Maryland)	Primary
122300000X	Dentist	DT2403 (Hawaii)	Secondary

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 Jeremy Keith Masenior 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 Jeremy Keith Masenior, DDS Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Dr Jeremy Keith Masenior, DDS 12165 Elm St, Princess Anne, MD 21853-1358 Ph: (410) 651-5151

Reviews and Comments

Dentist in Princess Anne, MD

Stephen Thomas Wagner, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 12137 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Robert Mark Schulz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Celeste Marie Ziara, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Grace Eunheh Kim, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Ariel Karyn Snell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Reeves Varghese Manikat, DMD Dentist Medicare: Medicare Enrolled Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256
Dr. Trent Johnson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 12165 Elm St, Princess Anne, MD 21853 Phone: 410-651-5151 Fax: 410-651-4256

Dr Jeremy Keith Masenior, DDS - Medicare Dentist in Princess Anne, MD