Dr Jonathan Leslie Czerepak, DMD is a medicare enrolled "Dentist" provider in Fort, North Carolina. His current practice location is
2716 Rielly Road, Fort, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(910) 643-2196.
Dr Jonathan Leslie Czerepak is licensed to practice in Massachusetts (license number DN1856104) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861740722.
Healthcare Provider's Profile
Full Name | Dr Jonathan Leslie Czerepak |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2716 Rielly Road, Fort, North Carolina |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dr Jonathan Leslie Czerepak attended and graduated from in
NPI Data:
- NPI Number: 1861740722
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 08/22/2017
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Dr Jonathan Leslie Czerepak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861740722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1856104 (Massachusetts) | Secondary |
122300000X | Dentist | DN1856104 (Massachusetts) | Primary |
1223G0001X | Dentist - General Practice | DN1856104 (Massachusetts) | Secondary |
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 Leslie Czerepak 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 Leslie Czerepak, DMD 226 Bainbridge Dr, Evans, GA 30809-7302 Ph: (603) 491-2050 | Dr Jonathan Leslie Czerepak, DMD 2716 Rielly Road, Fort, NC 28310-7302 Ph: (910) 643-2196 |
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