Juan Jose Fajardo, DMD in Davie, FL - Medicare Oral Surgery Provider

Juan Jose Fajardo, DMD is a medicare enrolled "Dentist - General Practice" provider in Davie, Florida. He went to University Of Florida College Of Dentistry and graduated in 2020 and has 5 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Dental Designs Of Naples Llc and his current practice location is 4789 Sw 148th Ave Ste 205, Davie, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 252-5911.

Juan Jose Fajardo is licensed to practice in Florida (license number DN25194) 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 1275150799.

Contact Information

	Juan Jose Fajardo, DMD
	4789 Sw 148th Ave Ste 205, Davie, FL 33330-2121
	(954) 252-5911
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Juan Jose Fajardo
Gender	Male
Speciality	Oral Surgery
Experience	5 Years
Location	4789 Sw 148th Ave Ste 205, Davie, Florida
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:

Juan Jose Fajardo attended and graduated from University Of Florida College Of Dentistry in 2020

NPI Data:

NPI Number: 1275150799
Provider Enumeration Date: 06/30/2020
Last Update Date: 04/18/2024

Medicare PECOS Information:

PECOS PAC ID: 6406259852
Enrollment ID: I20210723000282

Medical Identifiers

Medical identifiers for Juan Jose Fajardo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275150799	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DRP2164 (Florida)	Secondary
1223G0001X	Dentist - General Practice	DN25194 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dental Designs Of Naples Llc	0042575714	2

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. Juan Jose Fajardo allows following entities to bill medicare on his behalf.

Entity Name	Dental Designs Of Naples Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326549080 PECOS PAC ID: 0042575714 Enrollment ID: O20180530000785

Entity Name	Dental Designs Of Fort Myers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952540270 PECOS PAC ID: 7719221142 Enrollment ID: O20181211003422

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. Juan Jose Fajardo 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
Juan Jose Fajardo, DMD 4789 Sw 148th Ave Ste 205, Davie, FL 33330-2121 Ph: (954) 252-5911	Juan Jose Fajardo, DMD 4789 Sw 148th Ave Ste 205, Davie, FL 33330-2121 Ph: (954) 252-5911

Reviews and Comments

Dentist in Davie, FL

Dr. Michael Nicolae Georgescu, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1835
Joel Melvin Hauptman, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1909 Fax: 954-262-1782
Dr. Antonio Godoy, DDS., MS. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1908 Fax: 954-262-7355
Shiva Khatami, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-7500 Fax: 954-262-7164
Chiu-jen P. Hsu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-7341
Narges Atabakhsh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-7663 Fax: 954-262-1782
Dr. Donald E Antonson, DDS, MED Dentist Medicare: Not Enrolled in Medicare Practice Location: 3200 S University Dr, Davie, FL 33328 Phone: 954-262-1752 Fax: 954-262-1782

Juan Jose Fajardo, DMD - Medicare Dentist in Davie, FL