Dr John P Ilitch, DDS in Detroit, MI - Medicare Dentist Provider

Dr John P Ilitch, DDS is a medicare enrolled "Dentist" provider in Detroit, Michigan. His current practice location is 15311 W Mcnichols Rd, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at (313) 838-0490.

Dr John P Ilitch is licensed to practice in Michigan (license number 14256) 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 1720127384.

Contact Information

	Dr John P Ilitch, DDS
	15311 W Mcnichols Rd, Detroit, MI 48235-3723
	(313) 838-0490
	(248) 539-3347

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John P Ilitch
Gender	Male
Speciality	Dentist
Location	15311 W Mcnichols Rd, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720127384
Provider Enumeration Date: 02/06/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567766538
Enrollment ID: I20160211001604

Medical Identifiers

Medical identifiers for Dr John P Ilitch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720127384	NPI	-	NPPES
14256	Other	MI	DENTAL LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	14256 (Michigan)	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 P Ilitch 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 P Ilitch, DDS 17770 Stonebrook Dr, Northville, MI 48168-4329 Ph: (313) 838-0490	Dr John P Ilitch, DDS 15311 W Mcnichols Rd, Detroit, MI 48235-3723 Ph: (313) 838-0490

Reviews and Comments

Dentist in Detroit, MI

Dr. Elham Javidan-nejad, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5705 W Vernor Hwy, Detroit, MI 48209 Phone: 313-842-3770 Fax: 313-842-6665
Dr. Swati Dinesh Chitre, DDS,MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6814
Minh-phuong Isabelle Kieu, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6629
Dennis S Phillips, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4201 Saint Antoine St, Detroit, MI 48201 Phone: 313-745-1977 Fax: 313-745-4370
Karishma M Choksi, B.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 313-494-6700 Fax: 313-745-4370
Dr. Mikhail Arkhipov, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2700 Martin Luther King Jr Blvd, Detroit, MI 48208 Phone: 347-782-6999
Dr. Bruce Donigan, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3011 W. Grand Blvd., Suite 862, Detroit, MI 48202 Phone: 313-871-1100 Fax: 313-871-5376

Dr John P Ilitch, DDS - Medicare Dentist in Detroit, MI