Dr John Peter Marconnit, DDS is a medicare enrolled "Dentist" provider in Lewiston, Michigan. His current practice location is
3051 Bay Street, Lewiston, Michigan. You can reach out to his office (for appointments etc.) via phone at
(989) 786-2104.
Dr John Peter Marconnit is licensed to practice in Michigan (license number 13005) 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 1366631798.
Healthcare Provider's Profile
Full Name | Dr John Peter Marconnit |
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Gender | Male |
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Speciality | Dentist |
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Location | 3051 Bay Street, Lewiston, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1366631798
- Provider Enumeration Date: 10/22/2007
- Last Update Date: 10/22/2007
Medicare PECOS Information:
- PECOS PAC ID: 2860771870
- Enrollment ID: I20161222000151
Medical Identifiers
Medical identifiers for Dr John Peter Marconnit such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366631798 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 13005 (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 Peter Marconnit 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 Peter Marconnit, DDS Po Box 170, Lewiston, MI 49756-0170 Ph: (989) 786-2104 | Dr John Peter Marconnit, DDS 3051 Bay Street, Lewiston, MI 49756 Ph: (989) 786-2104 |
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