Jermin Joseph, DMD in Peoria, IL - Medicare Dentist Provider

Jermin Joseph, DMD is a medicare enrolled "Dentist" provider in Peoria, Illinois. His current practice location is 1200 W Main St Ste 9, Peoria, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 499-9385.

Jermin Joseph is licensed to practice in Illinois (license number 019034329) 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 1811681190.

Contact Information

	Jermin Joseph, DMD
	1200 W Main St Ste 9, Peoria, IL 61606-1218
	(773) 499-9385
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jermin Joseph
Gender	Male
Speciality	Dentist
Location	1200 W Main St Ste 9, Peoria, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811681190
Provider Enumeration Date: 06/08/2023
Last Update Date: 06/08/2023

Medicare PECOS Information:

PECOS PAC ID: 7810415502
Enrollment ID: I20250603003163

Medical Identifiers

Medical identifiers for Jermin Joseph such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811681190	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	019034329 (Illinois)	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. Jermin Joseph allows following entities to bill medicare on his behalf.

Entity Name	United Dental & Braces Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790592376 PECOS PAC ID: 6002334794 Enrollment ID: O20250516000719

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. Jermin Joseph 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
Jermin Joseph, DMD 611 Milwaukee Ave Ste 175, Glenview, IL 60025-7801 Ph: (773) 499-9385	Jermin Joseph, DMD 1200 W Main St Ste 9, Peoria, IL 61606-1218 Ph: (773) 499-9385

Reviews and Comments

Dentist in Peoria, IL

Megan Boyd, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1424 W Glen Ave Ste A, Peoria, IL 61614 Phone: 309-691-8033
Joseph Nicholas Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7310 N Villa Lake Dr Ste B, Peoria, IL 61614 Phone: 309-691-9072 Fax: 309-691-9432
Thien An Vu, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 E Armstrong Ave, Peoria, IL 61603 Phone: 714-548-9743
Dr. Kathy Arkwell, D.M.D., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2425 W Cornerstone Ct, Peoria, IL 61614 Phone: 309-692-3000 Fax: 309-692-4477
Michael Momchev, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6712 N Mountello Dr, Peoria, IL 61614 Phone: 309-691-7855
Dr. James R. Frost, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2001 W Willow Knolls Dr, Suite #204, Peoria, IL 61614 Phone: 309-692-8118 Fax: 309-692-6655
Dr. Lori Anne Pollard Rice, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 838 W Glen Ave, Peoria, IL 61614 Phone: 309-691-1990 Fax: 309-691-9112

Jermin Joseph, DMD - Medicare Dentist in Peoria, IL