Jerry Michael Jesseph, - Surgery in Bloomington, IN

Jerry Michael Jesseph, is a Surgery physician based in Bloomington, Indiana. Jerry Michael Jesseph is licensed to practice in Indiana (license number 01030317A) and his current practice location is 901 W 1st St, Bloomington, Indiana. He can be reached at his office (for appointments etc.) via phone at (812) 332-7277.

NPI number for Jerry Michael Jesseph is 1952359523 and his current mailing address is Po Box 96, Smithville, Indiana. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952359523.

Contact Information

Jerry Michael Jesseph,
901 W 1st St,
Bloomington, IN 47403-2205
(812) 332-7277
(812) 332-0405

Map and Direction




Physician's Profile

Full NameJerry Michael Jesseph
GenderMale
SpecialitySurgery
Location901 W 1st St, Bloomington, Indiana
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1952359523
  • Provider Enumeration Date: 05/05/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Jerry Michael Jesseph such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952359523NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 01030317A (Indiana)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. Jerry Michael Jesseph is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jerry Michael Jesseph,
Po Box 96,
Smithville, IN 47458-0096

Ph: (812) 824-8787
Jerry Michael Jesseph,
901 W 1st St,
Bloomington, IN 47403-2205

Ph: (812) 332-7277

Reviews and Comments


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