Dr Jerry Ervin Miracle, DDS in Monroe, NC - Medicare Dentist Provider

Dr Jerry Ervin Miracle, DDS is a medicare enrolled "Dentist - General Practice" provider in Monroe, North Carolina. His current practice location is 1329 Patterson St, Monroe, North Carolina. You can reach out to his office (for appointments etc.) via phone at (704) 289-1993.

Dr Jerry Ervin Miracle is licensed to practice in North Carolina (license number 7308) 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 1306908165.

Contact Information

	Dr Jerry Ervin Miracle, DDS
	1329 Patterson St, Monroe, NC 28112-4349
	(704) 289-1993
	(704) 226-1743

Healthcare Provider's Profile

Full Name	Dr Jerry Ervin Miracle
Gender	Male
Speciality	Dentist - General Practice
Location	1329 Patterson St, Monroe, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306908165
Provider Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022317536
Enrollment ID: I20160505000799

Medical Identifiers

Medical identifiers for Dr Jerry Ervin Miracle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306908165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	7308 (North 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 Jerry Ervin Miracle 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 Jerry Ervin Miracle, DDS 1329 Patterson St, Po Box 949, Monroe, NC 28112-4349 Ph: (704) 289-1993	Dr Jerry Ervin Miracle, DDS 1329 Patterson St, Monroe, NC 28112-4349 Ph: (704) 289-1993

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Dentist in Monroe, NC

Dr. Jesse Eric Ricciuti, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1851 Wellness Blvd, Monroe, NC 28110 Phone: 704-291-7333 Fax: 704-292-1203
Dr. John Frank Ruocco, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1276 Stafford St, Monroe, NC 28110 Phone: 704-996-2245
Samantha Luise Sackos, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2258 W Roosevelt Blvd Ste A, Monroe, NC 28110 Phone: 704-291-7100 Fax: 704-291-7115
Dr. Monique Hudson-charles-pierre, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1139b N Charlotte Ave, Monroe, NC 28110 Phone: 704-289-1105 Fax: 704-289-6269
Dr. John William Galich Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1276 Stafford St, Monroe, NC 28110 Phone: 704-289-4505 Fax: 704-283-8654
Dr. Daniel R Sassano, DDS Dentist Medicare: Medicare Enrolled Practice Location: 704 S Sutherland Ave, Monroe, NC 28112 Phone: 704-289-9519 Fax: 704-225-1969
Dr. Melissa Sharee Jackson, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1307 Dove St, Monroe, NC 28112 Phone: 704-282-9961

Dr Jerry Ervin Miracle, DDS - Medicare Dentist in Monroe, NC