Dr Jonathan Andrew Dennis, DO is a medicare enrolled "Family Medicine" physician in Tustin, Michigan. His current practice location is
111 Church Street, Tustin, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 832-8560.
Dr Jonathan Andrew Dennis is licensed to practice in Michigan (license number 5101014532) 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 1578523502.
Physician's Profile
Full Name | Dr Jonathan Andrew Dennis |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 111 Church Street, Tustin, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578523502
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 05/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 0749310589
- Enrollment ID: I20100604000906
Medical Identifiers
Medical identifiers for Dr Jonathan Andrew Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578523502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 5101014532 (Michigan) | 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. Dr Jonathan Andrew Dennis 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 |
Dr Jonathan Andrew Dennis, DO 100 Michigan St Ne, Mc845, Grand Rapids, MI 49503-2560 Ph: (616) 486-6790 | Dr Jonathan Andrew Dennis, DO 111 Church Street, Tustin, MI 49688-5113 Ph: (231) 832-8560 |
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