Charles Knisely Fetterhoff Jr, DMD - Medicare Dentist in Harrisburg, PA

Charles Knisely Fetterhoff Jr, DMD is a medicare enrolled "Dentist - General Practice" provider in Harrisburg, Pennsylvania. His current practice location is 4231 Elmerton Avenue, Harrisburg, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (717) 652-5401.

Charles Knisely Fetterhoff Jr is licensed to practice in Pennsylvania (license number DS0175276) 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 1508984501.

Contact Information

Charles Knisely Fetterhoff Jr, DMD
4231 Elmerton Avenue,
Harrisburg, PA 17109-2394
(717) 652-5401
(717) 652-5202

Map and Direction




Healthcare Provider's Profile

Full NameCharles Knisely Fetterhoff Jr
GenderMale
SpecialityDentist - General Practice
Location4231 Elmerton Avenue, Harrisburg, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508984501
  • Provider Enumeration Date: 03/27/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1759602519
  • Enrollment ID: I20150604001707

Medical Identifiers

Medical identifiers for Charles Knisely Fetterhoff Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508984501NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice DS0175276 (Pennsylvania)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. Charles Knisely Fetterhoff 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 AddressPractice Location Address
Charles Knisely Fetterhoff Jr, DMD
4231 Elmerton Avenue,
Harrisburg, PA 17109-2394

Ph: (717) 652-5401
Charles Knisely Fetterhoff Jr, DMD
4231 Elmerton Avenue,
Harrisburg, PA 17109-2394

Ph: (717) 652-5401

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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