Dr Jonathan Caleb Rossall, DDS,MMSC - Medicare Dentist in Tyler, TX

Dr Jonathan Caleb Rossall, DDS,MMSC is a medicare enrolled "Dentist - Endodontics" provider in Tyler, Texas. His current practice location is 4605 Old Bullard Rd, Tyler, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 939-3636.

Dr Jonathan Caleb Rossall is licensed to practice in Texas (license number 22596) 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 1699802744.

Contact Information

Dr Jonathan Caleb Rossall, DDS,MMSC
4605 Old Bullard Rd,
Tyler, TX 75703-1232
(903) 939-3636
(930) 939-1687

Map and Direction




Healthcare Provider's Profile

Full NameDr Jonathan Caleb Rossall
GenderMale
SpecialityDentist - Endodontics
Location4605 Old Bullard Rd, Tyler, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699802744
  • Provider Enumeration Date: 02/27/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4880993401
  • Enrollment ID: I20160504000354

Medical Identifiers

Medical identifiers for Dr Jonathan Caleb Rossall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699802744NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 22596 (Texas)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. Dr Jonathan Caleb Rossall 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 Jonathan Caleb Rossall, DDS,MMSC
4605 Old Bullard Rd,
Tyler, TX 75703-1232

Ph: (903) 939-3636
Dr Jonathan Caleb Rossall, DDS,MMSC
4605 Old Bullard Rd,
Tyler, TX 75703-1232

Ph: (903) 939-3636

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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