Dr Dante Jerome Brown, DMD - Medicare Dentist in South Bend, IN

Dr Dante Jerome Brown, DMD is a medicare enrolled "Dentist" provider in South Bend, Indiana. His current practice location is 1901 W Western Ave Ste B, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 234-9033.

Dr Dante Jerome Brown is licensed to practice in Indiana (license number 12012548A) 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 1104277516.

Contact Information

Dr Dante Jerome Brown, DMD
1901 W Western Ave Ste B,
South Bend, IN 46619-3570
(574) 234-9033
(574) 847-7200

Map and Direction




Healthcare Provider's Profile

Full NameDr Dante Jerome Brown
GenderMale
SpecialityDentist
Location1901 W Western Ave Ste B, South Bend, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104277516
  • Provider Enumeration Date: 06/27/2016
  • Last Update Date: 06/18/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507130614
  • Enrollment ID: I20170929001327

Medical Identifiers

Medical identifiers for Dr Dante Jerome Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104277516NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12012548A (Indiana)Primary
126900000XDental Laboratory Technician 12012548A (Indiana)Secondary

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 Dante Jerome Brown allows following entities to bill medicare on his behalf.
Entity NamePorter-starke Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689627598
PECOS PAC ID: 1951293554
Enrollment ID: O20040330000098
Entity NameIndiana Health Centers Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598776742
PECOS PAC ID: 3971599473
Enrollment ID: O20040430001159
Entity NameHealthlinc Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1528262581
PECOS PAC ID: 7618929373
Enrollment ID: O20050210000929
Entity NameOnhealthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417220369
PECOS PAC ID: 8527221480
Enrollment ID: O20120514000325

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 Dante Jerome Brown 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
Dr Dante Jerome Brown, DMD
19058 Avers Ave,
Flossmoor, IL 60422-1017

Ph: () -
Dr Dante Jerome Brown, DMD
1901 W Western Ave Ste B,
South Bend, IN 46619-3570

Ph: (574) 234-9033

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.