Jerry Deane Tankersley, DMD in Clarksdale, MS

Jerry Deane Tankersley, DMD is a medicare enrolled "Dentist" provider in Clarksdale, Mississippi. His current practice location is 800 Ohio Ave, Clarksdale, Mississippi. You can reach out to his office (for appointments etc.) via phone at (662) 624-4292.

Jerry Deane Tankersley is licensed to practice in Mississippi (license number 2300-86) 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 1710111034.

Contact Information

	Jerry Deane Tankersley, DMD
	800 Ohio Ave, Clarksdale, MS 38614-7200
	(662) 624-4292
	(662) 627-3629

Map and Direction

Healthcare Provider's Profile

Full Name	Jerry Deane Tankersley
Gender	Male
Speciality	Dentist
Location	800 Ohio Ave, Clarksdale, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710111034
Provider Enumeration Date: 05/14/2009
Last Update Date: 06/30/2009

Medicare PECOS Information:

PECOS PAC ID: 0648446724
Enrollment ID: I20111221000256

Medical Identifiers

Medical identifiers for Jerry Deane Tankersley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710111034	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2300-86 (Mississippi)	Primary

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. Jerry Deane Tankersley allows following entities to bill medicare on his behalf.

Entity Name	North Sunflower Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891705133 PECOS PAC ID: 7618932294 Enrollment ID: O20041123000318

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. Jerry Deane Tankersley 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
Jerry Deane Tankersley, DMD 510 Highway 322, Clarksdale, MS 38614-4717 Ph: (662) 624-2504	Jerry Deane Tankersley, DMD 800 Ohio Ave, Clarksdale, MS 38614-7200 Ph: (662) 624-4292

Reviews and Comments

Dentist in Clarksdale, MS

Dr. Ralph Joseph Landry, DDD Dentist Medicare: Medicare Enrolled Practice Location: 512 1st St, Clarksdale, MS 38614 Phone: 662-624-8114
Dr. William F Wilson Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 850 Desoto Ave, Extended, Clarksdale, MS 38614 Phone: 662-627-1181 Fax: 662-627-3674
Dr. Matthew Joe Chow, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 705 S Choctaw St, Clarksdale, MS 38614 Phone: 662-627-7324 Fax: 662-627-7758
Joseph K Shleweet, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 526 S Choctaw St, Suite B & C, Clarksdale, MS 38614 Phone: 662-627-3633 Fax: 662-627-5655
Dr. Robert Earl Long Sr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 527 Desoto Ave, Clarksdale, MS 38614 Phone: 662-627-2565 Fax: 662-627-2524
Dr. Malcolm Douglas Bailey, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 130 Lee Dr, Clarksdale, MS 38614 Phone: 662-627-4791 Fax: 662-627-4791
Robert Theodore Roberts, Dentist Medicare: Not Enrolled in Medicare Practice Location: 632 Friars Point Rd, Clarksdale, MS 38614 Phone: 662-624-6862 Fax: 662-624-5985

Jerry Deane Tankersley, DMD - Medicare Dentist in Clarksdale, MS