Dr John Joseph Illuminati, DDS in South Portland, ME

Dr John Joseph Illuminati, DDS is a medicare enrolled "Dentist - General Practice" provider in South Portland, Maine. His current practice location is 20 Long Creek Dr, South Portland, Maine. You can reach out to his office (for appointments etc.) via phone at (207) 761-4010.

Dr John Joseph Illuminati is licensed to practice in Maine (license number 2953) 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 1225216278.

Contact Information

	Dr John Joseph Illuminati, DDS
	20 Long Creek Dr, South Portland, ME 04106
	(207) 761-4010
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Joseph Illuminati
Gender	Male
Speciality	Dentist - General Practice
Location	20 Long Creek Dr, South Portland, Maine
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225216278
Provider Enumeration Date: 02/01/2008
Last Update Date: 02/01/2008

Medicare PECOS Information:

PECOS PAC ID: 1759689490
Enrollment ID: I20160414000189

Medical Identifiers

Medical identifiers for Dr John Joseph Illuminati such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225216278	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2953 (Maine)	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 John Joseph Illuminati 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 John Joseph Illuminati, DDS 20 Long Creek Dr, South Portland, ME 04106 Ph: (207) 761-4010	Dr John Joseph Illuminati, DDS 20 Long Creek Dr, South Portland, ME 04106 Ph: (207) 761-4010

Reviews and Comments

Dentist in South Portland, ME

Jacob Fillebrown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 324 Gannett Dr Ste 500, South Portland, ME 04106 Phone: 207-253-5600
Dr. Peter Rene Then, DMD DR MED DENT Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 Western Avenue, South Portland, ME 04106 Phone: 207-774-5527 Fax: 207-780-1188
Dr. Tyler Clausen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-775-1551
Dr. John Bede Corey, DMD PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 Western Avenue, South Portland, ME 04106 Phone: 207-774-5527 Fax: 207-780-1188
Dr. Gary Allan Kokx, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 25 Long Creek Dr, 1, South Portland, ME 04106 Phone: 207-774-6553 Fax: 207-774-0496
Dr. Nathan Timothy Oakes, DMD Dentist Medicare: Medicare Enrolled Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-517-6279
Dr. Lesley Lambert Weidert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 171 Maine Mall Rd, South Portland, ME 04106 Phone: 207-775-1551

Dr John Joseph Illuminati, DDS - Medicare Dentist in South Portland, ME