Jonathan Taft Gille, DMD in San Diego, CA - Medicare Dentist Provider

Jonathan Taft Gille, DMD is a medicare enrolled "Dentist" provider in San Diego, California. His current practice location is 5638 Mission Center Rd Ste 107, San Diego, California. You can reach out to his office (for appointments etc.) via phone at (619) 220-0159.

Jonathan Taft Gille is licensed to practice in California (license number 108777) 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 1982395646.

Contact Information

	Jonathan Taft Gille, DMD
	5638 Mission Center Rd Ste 107, San Diego, CA 92108-4348
	(619) 220-0159
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jonathan Taft Gille
Gender	Male
Speciality	Dentist
Location	5638 Mission Center Rd Ste 107, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982395646
Provider Enumeration Date: 05/15/2023
Last Update Date: 05/15/2023

Medicare PECOS Information:

PECOS PAC ID: 1456712892
Enrollment ID: I20230801002420

Medical Identifiers

Medical identifiers for Jonathan Taft Gille such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982395646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	108777 (California)	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. Jonathan Taft Gille 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 Taft Gille, DMD 3042 Masters Pl, San Diego, CA 92123-3237 Ph: (727) 504-1755	Jonathan Taft Gille, DMD 5638 Mission Center Rd Ste 107, San Diego, CA 92108-4348 Ph: (619) 220-0159

Reviews and Comments

Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239
Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135

Jonathan Taft Gille, DMD - Medicare Dentist in San Diego, CA