Joseph Richard Deatherage, DMD, MD - Medicare Dentist in Bismarck, ND

Joseph Richard Deatherage, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Bismarck, North Dakota. He went to University Of Texas Medical School At San Antonio and graduated in 1992 and has 32 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Face And Jaw Surgeons Pc and his current practice location is 1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 258-7220.

Joseph Richard Deatherage is licensed to practice in North Dakota (license number 2069) 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 1003859117.

Contact Information

Joseph Richard Deatherage, DMD, MD
1730 Burnt Boat Dr Ste 300,
Bismarck, ND 58503-0886
(701) 258-7220
(701) 222-2329

Map and Direction




Healthcare Provider's Profile

Full NameJoseph Richard Deatherage
GenderMale
SpecialityOral Surgery
Experience32 Years
Location1730 Burnt Boat Dr Ste 300, Bismarck, North Dakota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Joseph Richard Deatherage attended and graduated from University Of Texas Medical School At San Antonio in 1992
  NPI Data:
  • NPI Number: 1003859117
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 05/01/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5395764278
  • Enrollment ID: I20100511001065

Medical Identifiers

Medical identifiers for Joseph Richard Deatherage such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003859117NPI-NPPES
2069OtherNDDENTAL LICENSE
41524MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 2069 (North Dakota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Face And Jaw Surgeons Pc115331188110

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. Joseph Richard Deatherage allows following entities to bill medicare on his behalf.
Entity NameFace And Jaw Surgeons Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184667305
PECOS PAC ID: 1153311881
Enrollment ID: O20040514000837

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. Joseph Richard Deatherage 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
Joseph Richard Deatherage, DMD, MD
1730 Burnt Boat Dr Ste 300,
Bismarck, ND 58503-0886

Ph: (701) 258-7220
Joseph Richard Deatherage, DMD, MD
1730 Burnt Boat Dr Ste 300,
Bismarck, ND 58503-0886

Ph: (701) 258-7220

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).

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