Dr Jonathan Jelmini, DDS, MD is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Portland, Oregon. He went to Oregon Health Sciences University School Of Medicine and graduated in 2018 and has 8 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice University Professional Services and his current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 494-8916.
Dr Jonathan Jelmini is licensed to practice in Oregon (license number MD219104) 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 1477000164.
Healthcare Provider's Profile
| Full Name | Dr Jonathan Jelmini |
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| Gender | Male |
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| Speciality | Oral Surgery |
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| Experience | 8 Years |
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| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jonathan Jelmini attended and graduated from Oregon Health Sciences University School Of Medicine in 2018
NPI Data:
- NPI Number: 1477000164
- Provider Enumeration Date: 09/09/2016
- Last Update Date: 07/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 3577813328
- Enrollment ID: I20250326002387
Medical Identifiers
Medical identifiers for Dr Jonathan Jelmini such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1477000164 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D10527 (Oregon) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | MD219104 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Professional Services | 4880760107 | 1609 |
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 Jonathan Jelmini allows following entities to bill medicare on his behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013 |
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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 Jelmini 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 |
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Dr Jonathan Jelmini, DDS, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
Ph: (503) 494-8916 | Dr Jonathan Jelmini, DDS, MD
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
Ph: (503) 494-8916 |
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