Dr Benjamin Jacob Schlott, DMD, MD in Alton, IL - Medicare Dentist Provider

Dr Benjamin Jacob Schlott, DMD, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Alton, Illinois. His current practice location is 3555 College Ave, Alton, Illinois. You can reach out to his office (for appointments etc.) via phone at (618) 462-1646.

Dr Benjamin Jacob Schlott is licensed to practice in Illinois (license number 021002736) 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 1891938296.

Contact Information

	Dr Benjamin Jacob Schlott, DMD, MD
	3555 College Ave, Alton, IL 62002-5009
	(618) 462-1646
	(618) 462-5211

Healthcare Provider's Profile

Full Name	Dr Benjamin Jacob Schlott
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	3555 College Ave, Alton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891938296
Provider Enumeration Date: 04/14/2009
Last Update Date: 12/02/2021

Medicare PECOS Information:

PECOS PAC ID: 3274702329
Enrollment ID: I20140908001354

Medical Identifiers

Medical identifiers for Dr Benjamin Jacob Schlott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891938296	NPI	-	NPPES
1891938296	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	019026421 (Illinois)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2011013340 (Missouri)	Secondary
122300000X	Dentist	DTP602 (Florida)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DTP602 (Florida)	Secondary
204E00000X	Oral & Maxillofacial Surgery	2011022969 (Missouri)	Secondary
204E00000X	Oral & Maxillofacial Surgery	036140395 (Illinois)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	021002736 (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. Dr Benjamin Jacob Schlott allows following entities to bill medicare on his behalf.

Entity Name	Faculty Associates Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255383550 PECOS PAC ID: 4981707460 Enrollment ID: O20070322000013

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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 Benjamin Jacob Schlott 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
Dr Benjamin Jacob Schlott, DMD, MD 3555 College Ave, Alton, IL 62002-5009 Ph: (618) 462-1646	Dr Benjamin Jacob Schlott, DMD, MD 3555 College Ave, Alton, IL 62002-5009 Ph: (618) 462-1646

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Dentist in Alton, IL

Jessica Chellis, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Sandra Kay Highsmith, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7208
Dr. Lucas Winebaugh, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Dr. Adam Kennedy Remm, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7000
Prof. Martin F. Land, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave - Bldg. 263, Southern Illinois University, School Of Dental Medicine, Alton, IL 62002 Phone: 618-474-7072 Fax: 618-474-7141
Dr. Patrick William Malone, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 630-391-8330
Dr. Alexandria Nicole Wold, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2800 College Ave, Alton, IL 62002 Phone: 618-474-7164

Dr Benjamin Jacob Schlott, DMD, MD - Medicare Dentist in Alton, IL

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

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Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Dentist in Alton, IL