Dr Jonathan Michael Czyscon, DMD is a medicare enrolled "Dentist" provider in South Chicago Heights, Illinois. His current practice location is
3320 Chicago Rd, South Chicago Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(708) 248-5034.
Dr Jonathan Michael Czyscon is licensed to practice in Illinois (license number 019030324) 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 1649655606.
Healthcare Provider's Profile
Full Name | Dr Jonathan Michael Czyscon |
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Gender | Male |
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Speciality | Dentist |
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Location | 3320 Chicago Rd, South Chicago Heights, Illinois |
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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: 1649655606
- Provider Enumeration Date: 07/20/2015
- Last Update Date: 07/20/2015
Medicare PECOS Information:
- PECOS PAC ID: 2466751797
- Enrollment ID: I20160509000373
Medical Identifiers
Medical identifiers for Dr Jonathan Michael Czyscon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1649655606 | NPI | - | NPPES |
019030324 | Medicaid | IL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019030324 (Illinois) | 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 Michael Czyscon 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 Michael Czyscon, DMD 3320 Chicago Rd, South Chicago Heights, IL 60411-5423 Ph: (708) 248-5034 | Dr Jonathan Michael Czyscon, DMD 3320 Chicago Rd, South Chicago Heights, IL 60411-5423 Ph: (708) 248-5034 |
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