Dr Paul Joseph Jackanich Jr, DDS is a medicare enrolled "Dentist" provider in Polano, Ohio. His current practice location is
841 Southwestern Run, Ste 1, Polano, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 629-2270.
Dr Paul Joseph Jackanich Jr is licensed to practice in Ohio (license number 18806) 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 1689622359.
Healthcare Provider's Profile
Full Name | Dr Paul Joseph Jackanich Jr |
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Gender | Male |
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Speciality | Dentist |
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Location | 841 Southwestern Run, Polano, Ohio |
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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: 1689622359
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244556355
- Enrollment ID: I20150309001716
Medical Identifiers
Medical identifiers for Dr Paul Joseph Jackanich Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689622359 | NPI | - | NPPES |
0754125 | Medicaid | OH | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 18806 (Ohio) | 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 Paul Joseph Jackanich Jr 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 Paul Joseph Jackanich Jr, DDS 841 Southwestern Run, Ste 1, Poland, OH 44514-3688 Ph: (330) 629-2270 | Dr Paul Joseph Jackanich Jr, DDS 841 Southwestern Run, Ste 1, Polano, OH 44514 Ph: (330) 629-2270 |
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