Dr Jonathan Andrew Dennis, DO is a medicare enrolled "Family Medicine" physician in Tustin, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2000 and has 25 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Amanda K Nixon Pa-c Pc and his current practice location is
111 Church Street, Tustin, Michigan. You can reach out to his office (for appointments etc.) via phone at
(231) 832-8560.
Dr Jonathan Andrew Dennis is licensed to practice in Michigan (license number 5101014532) 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 1578523502.
Physician's Profile
| Full Name | Dr Jonathan Andrew Dennis |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 25 Years |
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| Location | 111 Church Street, Tustin, Michigan |
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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 Andrew Dennis attended and graduated from Michigan State University College Of Osteopathic Medicine in 2000
NPI Data:
- NPI Number: 1578523502
- Provider Enumeration Date: 03/24/2006
- Last Update Date: 05/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 0749310589
- Enrollment ID: I20100604000906
Medical Identifiers
Medical identifiers for Dr Jonathan Andrew Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578523502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5101014532 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Amanda K Nixon Pa-c Pc | 4587935192 | 2 |
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 Andrew Dennis allows following entities to bill medicare on his behalf.
| Entity Name | Amanda K Nixon Pa-c Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578072591
PECOS PAC ID: 4587935192
Enrollment ID: O20170731003739 |
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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 Andrew Dennis 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 Andrew Dennis, DO
100 Michigan St Ne, Mc845,
Grand Rapids, MI 49503-2560
Ph: (616) 486-6790 | Dr Jonathan Andrew Dennis, DO
111 Church Street,
Tustin, MI 49688-5113
Ph: (231) 832-8560 |
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