Dr Richard Glenn Jacques, DDS in Greenville, SC - Medicare Dentist Provider

Dr Richard Glenn Jacques, DDS is a medicare enrolled "Dentist" provider in Greenville, South Carolina. His current practice location is 16 Mills Ave, Unit #1, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 242-4848.

Dr Richard Glenn Jacques is licensed to practice in South Carolina (license number 02333) 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 1164566105.

Contact Information

	Dr Richard Glenn Jacques, DDS
	16 Mills Ave, Unit #1, Greenville, SC 29605-4070
	(864) 242-4848
	Not Available

Healthcare Provider's Profile

Full Name	Dr Richard Glenn Jacques
Gender	Male
Speciality	Dentist
Location	16 Mills Ave, Greenville, 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: 1164566105
Provider Enumeration Date: 02/15/2007
Last Update Date: 02/15/2016

Medicare PECOS Information:

PECOS PAC ID: 1658677695
Enrollment ID: I20160316002738

Medical Identifiers

Medical identifiers for Dr Richard Glenn Jacques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164566105	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	02333 (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 Richard Glenn Jacques 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 Richard Glenn Jacques, DDS 16 Mills Ave, Ste 1, Greenville, SC 29605-4065 Ph: (864) 242-4848	Dr Richard Glenn Jacques, DDS 16 Mills Ave, Unit #1, Greenville, SC 29605-4070 Ph: (864) 242-4848

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Dentist in Greenville, SC

John Layton Glymph Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6a Cleveland Ct, Greenville, SC 29607 Phone: 864-271-3713 Fax: 864-271-3719
Dr. Harry George Bobotis, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 870 Cleveland St, Suite 2-b, Greenville, SC 29601 Phone: 864-233-4874 Fax: 864-233-4868
Dr. Jack Haynes Hancock, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 10 Enterprise Blvd, Suite 209, Greenville, SC 29615 Phone: 864-234-8811 Fax: 864-234-8844
Clarence Thomas Hamrick Iii, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: One Charis Drive, Greenville, SC 29615 Phone: 864-271-4330 Fax: 864-271-0196
Dr. Leor Joseph Lindner, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 40 Pointe Cir, Greenville, SC 29615 Phone: 864-233-4166
Dr. Jason Abram Minton, DMD Dentist Medicare: Medicare Enrolled Practice Location: 110 Villa Rd, Greenville, SC 29615 Phone: 864-282-1925
Terry A Willis, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 127 Hunts Bridge Rd, Greenville, SC 29617 Phone: 864-246-6471 Fax: 864-246-9917

Dr Richard Glenn Jacques, DDS - Medicare Dentist in Greenville, SC