Dr Paul Douglas Deitrick Jr, DMD in Voorhees, NJ - Medicare Maxillofacial Surgery Provider

Dr Paul Douglas Deitrick Jr, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Voorhees, New Jersey. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Maxillofacial Surgery. He is a member of the group practice Delaware Valley Maxillofacial And Oral Surgery Llc, Cooper Surgical Associates, Pa and his current practice location is 6200 Main St, Voorhees, New Jersey. You can reach out to his office (for appointments etc.) via phone at (856) 325-6717.

Dr Paul Douglas Deitrick Jr is licensed to practice in New Jersey (license number 22DI02798900) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1851527600.

Contact Information

	Dr Paul Douglas Deitrick Jr, DMD
	6200 Main St, Voorhees, NJ 08043-4629
	(856) 325-6717
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Paul Douglas Deitrick Jr
Gender	Male
Speciality	Maxillofacial Surgery
Experience	17 Years
Location	6200 Main St, Voorhees, New Jersey
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Paul Douglas Deitrick Jr graduated from medical school in 2007

NPI Data:

NPI Number: 1851527600
Provider Enumeration Date: 06/08/2009
Last Update Date: 03/24/2021

Medicare PECOS Information:

PECOS PAC ID: 4284943606
Enrollment ID: I20160707000217

Medical Identifiers

Medical identifiers for Dr Paul Douglas Deitrick Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851527600	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DS037281 (Pennsylvania)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	22DI02798900 (New Jersey)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Delaware Valley Maxillofacial And Oral Surgery Llc	3072567197	4
Cooper Surgical Associates, Pa	3274430764	218

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 Paul Douglas Deitrick Jr allows following entities to bill medicare on his behalf.

Entity Name	Delaware Valley Maxillofacial & Oral Surgery Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073641148 PECOS PAC ID: 3072567197 Enrollment ID: O20050310000642

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 Paul Douglas Deitrick 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
Dr Paul Douglas Deitrick Jr, DMD 1 Federal St # 200, Camden, NJ 08103-1088 Ph: (856) 356-4924	Dr Paul Douglas Deitrick Jr, DMD 6200 Main St, Voorhees, NJ 08043-4629 Ph: (856) 325-6717

Reviews and Comments

Dentist in Voorhees, NJ

Dr. Barry L Kliger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Britton Pl Ste 5, Voorhees, NJ 08043 Phone: 856-772-1133 Fax: 856-772-1540
Dr. John Leonard, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Route 73, Suite 1202 Sturbridge Office Park, Voorhees, NJ 08043 Phone: 856-753-2900 Fax: 856-753-5151
Dr. Donald Glenn Rebhun, D.M.D. Dentist Medicare: Accepting Medicare Assignments Practice Location: 2301 E Evesham Rd, Suite 211, Voorhees, NJ 08043 Phone: 856-772-1500 Fax: 856-772-0711
Cara Conroy Piskai, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 302 Haddonfield Berlin Rd, Voorhees, NJ 08043 Phone: 856-429-1900
Rida Z Kazmi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7 Prestwick Dr, Voorhees, NJ 08043 Phone: 856-534-4838
Dr. Alan M Meltzer, DMD, M.SC.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1307 White Horse Rd, Building B, Voorhees, NJ 08043 Phone: 856-772-9444 Fax: 856-772-2325
Dr. Joseph L Perno, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 703 White Horse Rd, Ste 2, Voorhees, NJ 08043 Phone: 856-784-4747 Fax: 856-784-3787

Dr Paul Douglas Deitrick Jr, DMD - Medicare Dentist in Voorhees, NJ