Jonathan Dvorak, in Charlotte, NC - Medicare General Practice

Jonathan Dvorak, is a medicare enrolled "General Practice" physician in Charlotte, North Carolina. His current practice location is 1523 Elizabeth Ave Ste 200, Charlotte, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 910-1402.

Jonathan Dvorak is licensed to practice in North Carolina (license number 2021-00162) 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 1912432386.

Contact Information

	Jonathan Dvorak,
	1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794
	(704) 910-1402
	(704) 910-1402

Map and Direction

Physician's Profile

Full Name	Jonathan Dvorak
Gender	Male
Speciality	General Practice
Location	1523 Elizabeth Ave Ste 200, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912432386
Provider Enumeration Date: 04/24/2017
Last Update Date: 02/05/2021

Medicare PECOS Information:

PECOS PAC ID: 8224445119
Enrollment ID: I20210319001249

Medical Identifiers

Medical identifiers for Jonathan Dvorak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912432386	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	2021-00162 (North Carolina)	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. Jonathan Dvorak allows following entities to bill medicare on his behalf.

Entity Name	Allergy Asthma & Immunology Relief Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548511314 PECOS PAC ID: 2466604434 Enrollment ID: O20121221000068

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. Jonathan Dvorak 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
Jonathan Dvorak, 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 Ph: (704) 910-1402	Jonathan Dvorak, 1523 Elizabeth Ave Ste 200, Charlotte, NC 28204-2794 Ph: (704) 910-1402

Reviews and Comments

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Jonathan Dvorak, - Medicare General Practice in Charlotte, NC