Dr L Jarrette Burckhalter Iv, DMD in Orangeburg, SC - Medicare Dentist Provider

Dr L Jarrette Burckhalter Iv, DMD is a medicare enrolled "Dentist - General Practice" provider in Orangeburg, South Carolina. His current practice location is 1643 Carolina Avenue, Orangeburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 534-7525.

Dr L Jarrette Burckhalter Iv is licensed to practice in South Carolina (license number SC2095) 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 1043378870.

Contact Information

	Dr L Jarrette Burckhalter Iv, DMD
	1643 Carolina Avenue, Orangeburg, SC 29115
	(803) 534-7525
	(803) 534-7526

Healthcare Provider's Profile

Full Name	Dr L Jarrette Burckhalter Iv
Gender	Male
Speciality	Dentist - General Practice
Location	1643 Carolina Avenue, Orangeburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043378870
Provider Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 8022321173
Enrollment ID: I20150717001382

Medical Identifiers

Medical identifiers for Dr L Jarrette Burckhalter Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043378870	NPI	-	NPPES
341798	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	SC2095 (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 L Jarrette Burckhalter Iv 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 L Jarrette Burckhalter Iv, DMD 1643 Carolina Avenue, Orangeburg, SC 29115 Ph: (803) 534-7525	Dr L Jarrette Burckhalter Iv, DMD 1643 Carolina Avenue, Orangeburg, SC 29115 Ph: (803) 534-7525

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Dentist in Orangeburg, SC

Dr. Safiyah J Salih, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900
Dr. Randolph Charles Bryson, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 1350 Grove Park Dr, Orangeburg, SC 29115 Phone: 803-387-0682
Dr. Robert A. Varn, DMD Dentist Medicare: Medicare Enrolled Practice Location: 695 Laurel St, Orangeburg, SC 29115 Phone: 803-536-6440 Fax: 803-268-9921
Dr. Melanie Anne Brown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 888 Cook Rd, Orangeburg, SC 29118 Phone: 803-516-0777
Clifton Jordan Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2197 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-531-1601
Dr. Joseph Davin Bonavilla, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 888 Cook Rd, Orangeburg, SC 29118 Phone: 803-516-0777 Fax: 803-516-0577

Dr L Jarrette Burckhalter Iv, DMD - Medicare Dentist in Orangeburg, SC