Jonathan Mark Korostoff, DMD in Philadelphia, PA

Jonathan Mark Korostoff, DMD is a medicare enrolled "Dentist - Periodontics" provider in Philadelphia, Pennsylvania. His current practice location is 3400 Spruce St, 5 White Building, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 662-3580.

Jonathan Mark Korostoff is licensed to practice in Pennsylvania (license number DS024789L) 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 1154358042.

Contact Information

	Jonathan Mark Korostoff, DMD
	3400 Spruce St, 5 White Building, Philadelphia, PA 19104-4206
	(215) 662-3580
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Mark Korostoff
Gender	Male
Speciality	Dentist - Periodontics
Location	3400 Spruce St, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154358042
Provider Enumeration Date: 06/27/2006
Last Update Date: 04/02/2013

Medicare PECOS Information:

PECOS PAC ID: 5395928642
Enrollment ID: I20110323000609

Medical Identifiers

Medical identifiers for Jonathan Mark Korostoff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154358042	NPI	-	NPPES
0014770200001	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0300X	Dentist - Periodontics	DS024789L (Pennsylvania)	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. Jonathan Mark Korostoff allows following entities to bill medicare on his behalf.

Entity Name	University Of Penn-medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235527342 PECOS PAC ID: 6204730955 Enrollment ID: O20141111000091

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. Jonathan Mark Korostoff 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
Jonathan Mark Korostoff, DMD 3400 Spruce St, 5 White Buiding, Philadelphia, PA 19104-4206 Ph: (215) 662-3580	Jonathan Mark Korostoff, DMD 3400 Spruce St, 5 White Building, Philadelphia, PA 19104-4206 Ph: (215) 662-3580

Reviews and Comments

Dentist in Philadelphia, PA

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Jonathan Mark Korostoff, DMD - Medicare Dentist in Philadelphia, PA