Dr Agatha Jerry Lynn, DMD - Medicare Dentist in Charleston, SC

Dr Agatha Jerry Lynn, DMD is a medicare enrolled "Dentist" provider in Charleston, South Carolina. Her current practice location is 811 St Andrews Blvd, Suite B, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 571-7951.

Dr Agatha Jerry Lynn is licensed to practice in South Carolina (license number 4332) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1023217395.

Contact Information

Dr Agatha Jerry Lynn, DMD
811 St Andrews Blvd, Suite B,
Charleston, SC 29407
(843) 571-7951
(843) 571-7952



Healthcare Provider's Profile

Full NameDr Agatha Jerry Lynn
GenderFemale
SpecialityDentist
Location811 St Andrews Blvd, Charleston, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023217395
  • Provider Enumeration Date: 07/16/2007
  • Last Update Date: 07/29/2009
  Medicare PECOS Information:
  • PECOS PAC ID: 8022320993
  • Enrollment ID: I20150707000627

Medical Identifiers

Medical identifiers for Dr Agatha Jerry Lynn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023217395NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 4332 (South Carolina)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 Agatha Jerry Lynn 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 Agatha Jerry Lynn, DMD
811 Saint Andrews Blvd, Suite B,
Charleston, SC 29407-7187

Ph: (843) 571-7951
Dr Agatha Jerry Lynn, DMD
811 St Andrews Blvd, Suite B,
Charleston, SC 29407

Ph: (843) 571-7951

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Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 92 Courtenay Dr, Charleston, SC 29403
Phone: 843-577-6112    Fax: 843-937-0200
Adam M Clark, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407
Phone: 843-769-0488    Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425
Phone: 843-792-1904    Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 29 Bee Street, Charleston, SC 29425
Phone: 734-489-2834    
Dr. James Elliott Gregory Jr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1812 Wallace School Rd, Charleston, SC 29407
Phone: 843-571-4411    
Dr. Theodore D Ravenel V, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 173 Ashley Ave, Charleston, SC 29425
Phone: 843-792-3661    
Dr. Robert Louis Morrow Sr., DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18 A Leinbach Dr., Charleston, SC 29407
Phone: 843-795-3339    

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