Jessie C Deffendall, DMD - Medicare Dentist in Pikeville, KY

Jessie C Deffendall, DMD is a medicare enrolled "Dentist" provider in Pikeville, Kentucky. Her current practice location is 220 Cassidy Blvd, Pikeville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 653-2859.

Jessie C Deffendall is licensed to practice in Kentucky (license number 9992) 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 1174044390.

Contact Information

Jessie C Deffendall, DMD
220 Cassidy Blvd,
Pikeville, KY 41501
(606) 653-2859
Not Available



Healthcare Provider's Profile

Full NameJessie C Deffendall
GenderFemale
SpecialityDentist
Location220 Cassidy Blvd, Pikeville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174044390
  • Provider Enumeration Date: 06/28/2017
  • Last Update Date: 10/14/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2163794157
  • Enrollment ID: I20170825002691

Medical Identifiers

Medical identifiers for Jessie C Deffendall such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174044390NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 12012801A (Indiana)Secondary
122300000XDentist 9992 (Kentucky)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. Jessie C Deffendall 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
Jessie C Deffendall, DMD
220 Cassidy Blvd,
Pikeville, KY 41501-1426

Ph: () -
Jessie C Deffendall, DMD
220 Cassidy Blvd,
Pikeville, KY 41501

Ph: (606) 653-2859

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› Verified 9 days ago


Dentist in Pikeville, KY

Kasandra Sue Cole, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 178 Douglas Pkwy, Pikeville, KY 41501
Phone: 606-639-3135    Fax: 606-639-3136
George F. Johnson Iii, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1098 S Mayo Trl, Suite 103, Pikeville, KY 41501
Phone: 606-432-0187    Fax: 606-433-0900
Mr. Terry Wayne Wright, DMD PSC
Dentist
Medicare: Medicare Enrolled
Practice Location: 118 Caroline Avenue, Suite 2, Pikeville, KY 41502
Phone: 606-437-1942    Fax: 606-437-9886
Dr. Teresa Bartley, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5006 Collins Hwy, Pikeville, KY 41501
Phone: 606-639-4441    Fax: 606-639-9785
Dr. William Everett Collins, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 126 Trivette Dr, Suite 303, Pikeville, KY 41501
Phone: 606-437-9601    Fax: 606-437-1513
Dr. Aaron Stanley, D.M.D.
Dentist
Medicare: Medicare Enrolled
Practice Location: 419 Town Mountain Rd Ste 201, Pikeville, KY 41501
Phone: 606-437-1942    Fax: 606-437-9886

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