Dr John Vernon Jetty, DDS in Waterloo, NY - Medicare Dentist Provider

Dr John Vernon Jetty, DDS is a medicare enrolled "Dentist - General Practice" provider in Waterloo, New York. His current practice location is 86 Center St, Waterloo, New York. You can reach out to his office (for appointments etc.) via phone at (315) 539-3051.

Dr John Vernon Jetty is licensed to practice in New York (license number 034169) 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 1689730327.

Contact Information

	Dr John Vernon Jetty, DDS
	86 Center St, Waterloo, NY 13165-1026
	(315) 539-3051
	(315) 539-3051

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John Vernon Jetty
Gender	Male
Speciality	Dentist - General Practice
Location	86 Center St, Waterloo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689730327
Provider Enumeration Date: 12/28/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6103127147
Enrollment ID: I20151217000687

Medical Identifiers

Medical identifiers for Dr John Vernon Jetty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689730327	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	034169 (New York)	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 Vernon Jetty 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 Vernon Jetty, DDS 86 Center St, Waterloo, NY 13165-1026 Ph: (315) 539-3051	Dr John Vernon Jetty, DDS 86 Center St, Waterloo, NY 13165-1026 Ph: (315) 539-3051

Reviews and Comments

Dentist in Waterloo, NY

Dr. Stephen Frederick Hartman, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 107 North Virginia Street, Waterloo, NY 13165 Phone: 315-539-4035 Fax: 315-539-4035
Dr. Erin Ann Mcternan, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 W Main St, Waterloo, NY 13165 Phone: 315-539-2231 Fax: 315-539-8764
Rodney D. Littlejohn, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1203 Waterloo Geneva Rd, Waterloo, NY 13165 Phone: 315-539-9276 Fax: 315-539-0353
Dr. Nancy C Griffee, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 44 W Main St, Waterloo, NY 13165 Phone: 315-539-2231 Fax: 315-539-8764
Dr. John Rocco French, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 128 E Main St, Waterloo, NY 13165 Phone: 315-539-2091 Fax: 315-539-4034

Dr John Vernon Jetty, DDS - Medicare Dentist in Waterloo, NY