Jacob Scott Bleyer, DMD, MS is a
Dentist - Orthodontics And Dentofacial Orthopedics based in O'fallon, Missouri. Jacob Scott Bleyer is licensed to practice in Missouri (license number 2019014884) and his current practice location is
3006 Highway K, O'fallon, Missouri. He can be reached at his office (for appointments etc.) via phone at
(636) 978-8848.
NPI number for Jacob Scott Bleyer is 1861912891 and his current mailing address is 3006 Highway K, O'fallon, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861912891.
Healthcare Provider's Profile
Full Name | Jacob Scott Bleyer |
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Gender | Male |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
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Location | 3006 Highway K, O'fallon, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861912891
- Provider Enumeration Date: 06/21/2017
- Last Update Date: 03/25/2024
Medical Identifiers
Medical identifiers for Jacob Scott Bleyer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861912891 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021.003008 (Illinois) | Secondary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 2019014884 (Missouri) | 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. Jacob Scott Bleyer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Jacob Scott Bleyer, DMD, MS 3006 Highway K, O'fallon, MO 63368-8675 Ph: (636) 978-8848 | Jacob Scott Bleyer, DMD, MS 3006 Highway K, O'fallon, MO 63368-8675 Ph: (636) 978-8848 |
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