Dr Jonathan Jelmini, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" physician in Fort Worth, Texas. He went to Oregon Health Sciences University School Of Medicine and graduated in 2018 and has 6 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Oral And Maxillofacial Network Pllc and his current practice location is
1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at
(817) 702-6936.
Dr Jonathan Jelmini is licensed to practice in Texas (license number 38275) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1477000164.
Physician's Profile
| Full Name | Dr Jonathan Jelmini |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 6 Years |
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| Location | 1500 S Main St, Fort Worth, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Jelmini attended and graduated from Oregon Health Sciences University School Of Medicine in 2018
NPI Data:
- NPI Number: 1477000164
- Provider Enumeration Date: 09/09/2016
- Last Update Date: 01/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 3577813328
- Enrollment ID: I20220705002936
Medical Identifiers
Medical identifiers for Dr Jonathan Jelmini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477000164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208600000X | Surgery | PG188470 (Oregon) | Secondary |
| 122300000X | Dentist | D10527 (Oregon) | Secondary |
| 122300000X | Dentist | 38275 (Texas) | Secondary |
| 208600000X | Surgery | T6917 (Texas) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 38275 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Oral And Maxillofacial Network Pllc | 2668498387 | 8 |
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. Dr Jonathan Jelmini allows following entities to bill medicare on his behalf.
| Entity Name | Oral & Maxillofacial Network Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417170655
PECOS PAC ID: 2668498387
Enrollment ID: O20051021000045 |
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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 Jelmini 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 |
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Dr Jonathan Jelmini, DDS, MD
1500 S Main St,
Fort Worth, TX 76104-4917
Ph: () - | Dr Jonathan Jelmini, DDS, MD
1500 S Main St,
Fort Worth, TX 76104-4917
Ph: (817) 702-6936 |
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