Dr Julia R Pesavento, DMD - Medicare Dentist in Rockford, IL

Dr Julia R Pesavento, DMD is a medicare enrolled "Dentist - General Practice" provider in Rockford, Illinois. Her current practice location is 1075 Featherstone Rd Ste 30, Rockford, Illinois. You can reach out to her office (for appointments etc.) via phone at (815) 395-1711.

Dr Julia R Pesavento is licensed to practice in Illinois (license number 019-019656) 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 1043435175.

Contact Information

Dr Julia R Pesavento, DMD
1075 Featherstone Rd Ste 30,
Rockford, IL 61107-5906
(815) 395-1711
(815) 395-1705



Healthcare Provider's Profile

Full NameDr Julia R Pesavento
GenderFemale
SpecialityDentist - General Practice
Location1075 Featherstone Rd Ste 30, Rockford, Illinois
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043435175
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 05/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 9638490477
  • Enrollment ID: I20150605000946

Medical Identifiers

Medical identifiers for Dr Julia R Pesavento such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043435175NPI-NPPES
$$$$$$$$$OtherILSOCIAL SECURTIY NUMBER
019-019656OtherILLICENSE NUMBER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 019-019656 (Illinois)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 Julia R Pesavento 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 Julia R Pesavento, DMD
1075 Featherstone Road, Suite 30,
Rockford, IL 61072

Ph: (815) 395-1711
Dr Julia R Pesavento, DMD
1075 Featherstone Rd Ste 30,
Rockford, IL 61107-5906

Ph: (815) 395-1711

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› Verified 1 days ago


Dentist in Rockford, IL

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Phone: 815-490-1601    Fax: 815-490-1625

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