Dr Gregory Shane Jessen, DDS in Ogden, UT - Medicare Maxillofacial Surgery Provider

Dr Gregory Shane Jessen, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Ogden, Utah. He went to Virginia Commonwealth Univ School Of Dentistry and graduated in 1999 and has 25 years of diverse experience with area of expertise as Maxillofacial Surgery. His current practice location is 1508 E Skyline Dr Ste 800, Ogden, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 479-8200.

Dr Gregory Shane Jessen is licensed to practice in Utah (license number 5219929-9924) 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 1548349251.

Contact Information

	Dr Gregory Shane Jessen, DDS
	1508 E Skyline Dr Ste 800, Ogden, UT 84405-4889
	(801) 479-8200
	(801) 479-3219

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregory Shane Jessen
Gender	Male
Speciality	Maxillofacial Surgery
Experience	25 Years
Location	1508 E Skyline Dr Ste 800, Ogden, Utah
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 Gregory Shane Jessen attended and graduated from Virginia Commonwealth Univ School Of Dentistry in 1999

NPI Data:

NPI Number: 1548349251
Provider Enumeration Date: 11/03/2006
Last Update Date: 10/17/2023

Medicare PECOS Information:

PECOS PAC ID: 6507894177
Enrollment ID: I20050803001115

Medical Identifiers

Medical identifiers for Dr Gregory Shane Jessen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548349251	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223D0004X	Dentist - Dentist Anesthesiologist	5219929-9924 (Utah)	Secondary
1223P0106X	Dentist - Oral And Maxillofacial Pathology	52199299924 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	5219929-9924 (Utah)	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. Dr Gregory Shane Jessen allows following entities to bill medicare on his behalf.

Entity Name	Jessen Omfs Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184991895 PECOS PAC ID: 4082873435 Enrollment ID: O20120305000634

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

Entity Name	University Of Utah Dental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346633203 PECOS PAC ID: 0244542595 Enrollment ID: O20150630001141

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 Gregory Shane Jessen 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 Gregory Shane Jessen, DDS 1508 E Skyline Dr Ste 800, Ogden, UT 84405-4889 Ph: (801) 479-8200	Dr Gregory Shane Jessen, DDS 1508 E Skyline Dr Ste 800, Ogden, UT 84405-4889 Ph: (801) 479-8200

Reviews and Comments

Dentist in Ogden, UT

Dr. Delos Charles Adams, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3915 Ogden Ave, Ogden, UT 84403 Phone: 801-392-1000 Fax: 801-393-4578
Dr. Bart Wilson Wolthuis, DDS Dentist Medicare: Medicare Enrolled Practice Location: 512 12th Street, Ogden, UT 84404 Phone: 801-399-5831
Dr. Douglas Riley Bert Marberger, D,D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 166 E 4600 S, Ogden, UT 84405 Phone: 801-392-4940
Brett Anderton, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1220 33rd St, Suite A, Ogden, UT 84403 Phone: 801-621-1835 Fax: 801-621-1848
Dr. Rex J. Peterson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5640 Wasatch Dr Ste C, Ogden, UT 84403 Phone: 801-479-9443
Dr. Corwin Jay Keltner, DDS, PPA Dentist Medicare: Not Enrolled in Medicare Practice Location: 5974 Fashion Point Dr Ste 210, Ogden, UT 84403 Phone: 801-475-6121
Dr. Daniel S. Burdett, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5331 Adams Ave Pkwy, Suite C, Ogden, UT 84405 Phone: 801-475-0680 Fax: 801-475-0685

Dr Gregory Shane Jessen, DDS - Medicare Dentist in Ogden, UT