Dr Peter Jengo, DDS in Gardner, MA - Medicare Dentist Provider

Dr Peter Jengo, DDS is a medicare enrolled "Dentist" provider in Gardner, Massachusetts. His current practice location is 175 Connors Street, Gardner, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (978) 410-6100.

Dr Peter Jengo is licensed to practice in Massachusetts (license number 10648) 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 1205985553.

Contact Information

	Dr Peter Jengo, DDS
	175 Connors Street, Gardner, MA 01440
	(978) 410-6100
	(978) 410-6176

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Peter Jengo
Gender	Male
Speciality	Dentist
Location	175 Connors Street, Gardner, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205985553
Provider Enumeration Date: 01/09/2007
Last Update Date: 08/18/2015

Medicare PECOS Information:

PECOS PAC ID: 5991083412
Enrollment ID: I20161103000007

Medical Identifiers

Medical identifiers for Dr Peter Jengo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205985553	NPI	-	NPPES
0212270	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	10648 (Massachusetts)	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 Peter Jengo 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 Peter Jengo, DDS 326 Nichols Rd, Fitchburg, MA 01420 Ph: (978) 878-8516	Dr Peter Jengo, DDS 175 Connors Street, Gardner, MA 01440 Ph: (978) 410-6100

Reviews and Comments

Dentist in Gardner, MA

Irfan L Dasti, DMD PC Dentist Medicare: Medicare Enrolled Practice Location: 394 Elm St, Gardner, MA 01440 Phone: 978-632-7870 Fax: 978-630-2601
Dr. Harvey Apotheker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 39 Lennon Street, Gardner, MA 01440 Phone: 978-632-5502 Fax: 978-632-0964
Dr. Douglas F Leigh, D.DS. Dentist Medicare: Not Enrolled in Medicare Practice Location: 380 Elm St, Gardner, MA 01440 Phone: 978-630-1702 Fax: 978-630-2450
Dr. Ronald Magembe, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 175 Connors St, Gardner, MA 01440 Phone: 978-410-6100
Timothy J. Dymek, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 117 Central St, Gardner, MA 01440 Phone: 978-632-0267 Fax: 978-630-0120
Dr. Ernest Peter Liacopulos, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 500 Colony Rd, Gardner, MA 01440 Phone: 978-632-2000

Dr Peter Jengo, DDS - Medicare Dentist in Gardner, MA