Jerome M Dilling Jr, MD is a medicare enrolled "Otolaryngology" physician in Enid, Oklahoma. His current practice location is
3201 N Van Buren St, Suite 500, Enid, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 977-1907.
Jerome M Dilling Jr is licensed to practice in Oklahoma (license number 9046) 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 1336118801.
Physician's Profile
| Full Name | Jerome M Dilling Jr |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Location | 3201 N Van Buren St, Enid, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1336118801
- Provider Enumeration Date: 03/16/2006
- Last Update Date: 02/09/2018
Medicare PECOS Information:
- PECOS PAC ID: 7517052814
- Enrollment ID: I20071002000577
Medical Identifiers
Medical identifiers for Jerome M Dilling Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1336118801 | NPI | - | NPPES |
| 100824500A | Medicaid | OK | |
| P01318486 | Other | OK | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Y00000X | Otolaryngology | 9046 (Oklahoma) | Primary |
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. Jerome M Dilling Jr allows following entities to bill medicare on his behalf.
| Entity Name | Integris Ambulatory Care Corporation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750333936
PECOS PAC ID: 2365408465
Enrollment ID: O20041209000354 |
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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. Jerome M Dilling Jr 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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Jerome M Dilling Jr, MD
5300 N Independence Ave, 280,
Oklahoma City, OK 73112-5556
Ph: (580) 977-1907 | Jerome M Dilling Jr, MD
3201 N Van Buren St, Suite 500,
Enid, OK 73703-1812
Ph: (580) 977-1907 |
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