Dr Jonathan Arthur Penzien, DDS is a medicare enrolled "Dentist" provider in Shelby Tnp, Michigan. His current practice location is
55131 Shelby Rd, Shelby Tnp, Michigan. You can reach out to his office (for appointments etc.) via phone at
(243) 650-5500.
Dr Jonathan Arthur Penzien is licensed to practice in Michigan (license number 2901018088) 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 1205849171.
Healthcare Provider's Profile
Full Name | Dr Jonathan Arthur Penzien |
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Gender | Male |
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Speciality | Dentist |
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Location | 55131 Shelby Rd, Shelby Tnp, 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: 1205849171
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6507169760
- Enrollment ID: I20160121000995
Medical Identifiers
Medical identifiers for Dr Jonathan Arthur Penzien such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205849171 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901018088 (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 Jonathan Arthur Penzien 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 Jonathan Arthur Penzien, DDS 55131 Shelby Rd, Shelby Tnp, MI 48317 Ph: (243) 650-5500 | Dr Jonathan Arthur Penzien, DDS 55131 Shelby Rd, Shelby Tnp, MI 48317 Ph: (243) 650-5500 |
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