Dr Jerry D Michel, DDS is a
Dentist - General Practice based in Ft Wood, Missouri. Dr Jerry D Michel is licensed to practice in Missouri (license number 011804) and his current practice location is
4th And West Virginia, Bldg 500 Harper Dental Clinic, Ft Wood, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 596-0408.
NPI number for Dr Jerry D Michel is 1639131840 and his current mailing address is 25279 Mcclurg Rd, Versailles, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1639131840.
Healthcare Provider's Profile
Full Name | Dr Jerry D Michel |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 4th And West Virginia, Ft Wood, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639131840
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Jerry D Michel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639131840 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 011804 (Missouri) | Primary |
1223G0001X | Dentist - General Practice | 4931 (Kansas) | 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 Jerry D Michel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Jerry D Michel, DDS 25279 Mcclurg Rd, Versailles, MO 65084-5769 Ph: (573) 372-2786 | Dr Jerry D Michel, DDS 4th And West Virginia, Bldg 500 Harper Dental Clinic, Ft Wood, MO 65473 Ph: (573) 596-0408 |
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