Joseph Richard Deatherage, DMD, MD in Bismarck, ND

Joseph Richard Deatherage, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Bismarck, North Dakota. He went to University Of Texas Medical School At San Antonio and graduated in 1992 and has 32 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Face And Jaw Surgeons Pc and his current practice location is 1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 258-7220.

Joseph Richard Deatherage is licensed to practice in North Dakota (license number 2069) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1003859117.

Contact Information

	Joseph Richard Deatherage, DMD, MD
	1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503-0886
	(701) 258-7220
	(701) 222-2329

Map and Direction

Healthcare Provider's Profile

Full Name	Joseph Richard Deatherage
Gender	Male
Speciality	Oral Surgery
Experience	32 Years
Location	1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Joseph Richard Deatherage attended and graduated from University Of Texas Medical School At San Antonio in 1992

NPI Data:

NPI Number: 1003859117
Provider Enumeration Date: 06/14/2006
Last Update Date: 05/01/2019

Medicare PECOS Information:

PECOS PAC ID: 5395764278
Enrollment ID: I20100511001065

Medical Identifiers

Medical identifiers for Joseph Richard Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003859117	NPI	-	NPPES
2069	Other	ND	DENTAL LICENSE
41524	Medicaid	ND

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2069 (North Dakota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Face And Jaw Surgeons Pc	1153311881	9

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. Joseph Richard Deatherage allows following entities to bill medicare on his behalf.

Entity Name	Face And Jaw Surgeons Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184667305 PECOS PAC ID: 1153311881 Enrollment ID: O20040514000837

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. Joseph Richard Deatherage 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
Joseph Richard Deatherage, DMD, MD 1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503-0886 Ph: (701) 258-7220	Joseph Richard Deatherage, DMD, MD 1730 Burnt Boat Dr Ste 300, Bismarck, ND 58503-0886 Ph: (701) 258-7220

Reviews and Comments

Dentist in Bismarck, ND

Dr. Steven J Midstokke, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1223 S 12th St Ste 1, Bismarck, ND 58504 Phone: 701-221-0518
Gerard F Koorbusch, DDS, MBA Dentist Medicare: Not Enrolled in Medicare Practice Location: 1140 W Capitol Ave, Bismarck, ND 58501 Phone: 701-258-7220 Fax: 701-222-2329
Dr. Kevin S. Bjork, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1929 N Washington St, Bismarck, ND 58501 Phone: 701-222-1286 Fax: 701-222-1009
Matthew K Deeter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1003 Gateway Ave, Bismarck, ND 58503 Phone: 701-222-1800 Fax: 701-222-1800
Dr. James Theodore Podrebarac, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 Railway Av, Bismarck, ND 58501 Phone: 701-328-6118 Fax: 701-328-6391
Dr. Lawrence E Steininger, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1929 N Washington St Ste Op, Bismarck, ND 58501 Phone: 701-220-3532

Joseph Richard Deatherage, DMD, MD - Medicare Dentist in Bismarck, ND