Dr Jonathan Leslie Czerepak, DMD is a medicare enrolled "Dentist" provider in Fort, North Carolina. He went to Tufts University School Of Dental Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Theoharidis And Meier Pc and 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 | Oral Surgery |
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| Experience | 12 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. |
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Medical Education and Training:
- Dr Jonathan Leslie Czerepak attended and graduated from Tufts University School Of Dental Medicine in 2012
NPI Data:
- NPI Number: 1861740722
- Provider Enumeration Date: 08/27/2012
- Last Update Date: 08/22/2017
Medicare PECOS Information:
- PECOS PAC ID: 6709295520
- Enrollment ID: I20210507001383
Medical Identifiers
Medical identifiers for Dr Jonathan Leslie Czerepak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1861740722 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN1856104 (Massachusetts) | Secondary |
| 122300000X | Dentist | DN1856104 (Massachusetts) | Primary |
| 1223G0001X | Dentist - General Practice | DN1856104 (Massachusetts) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Theoharidis And Meier Pc | 8729151154 | 2 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jonathan Leslie Czerepak allows following entities to bill medicare on his behalf.
| Entity Name | Theoharidis & Meier Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1518089184
PECOS PAC ID: 8729151154
Enrollment ID: O20080718000188 |
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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 |
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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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