Jonathan Bradley Zoutendam, DDS in Traverse City, MI - Medicare Dentist Provider

Jonathan Bradley Zoutendam, DDS is a medicare enrolled "Dentist" provider in Traverse City, Michigan. His current practice location is 535 S Garfield Ave, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 946-6336.

Jonathan Bradley Zoutendam is licensed to practice in Michigan (license number 173880) 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 1184767808.

Contact Information

	Jonathan Bradley Zoutendam, DDS
	535 S Garfield Ave, Traverse City, MI 49686
	(231) 946-6336
	(231) 946-9489

Healthcare Provider's Profile

Full Name	Jonathan Bradley Zoutendam
Gender	Male
Speciality	Dentist
Location	535 S Garfield Ave, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184767808
Provider Enumeration Date: 02/14/2007
Last Update Date: 10/28/2014

Medicare PECOS Information:

PECOS PAC ID: 9436442068
Enrollment ID: I20160720000726

Medical Identifiers

Medical identifiers for Jonathan Bradley Zoutendam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184767808	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	173880 (Michigan)	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. Jonathan Bradley Zoutendam 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
Jonathan Bradley Zoutendam, DDS 535 S Garfield Ave, Traverse City, MI 49686 Ph: (231) 946-6336	Jonathan Bradley Zoutendam, DDS 535 S Garfield Ave, Traverse City, MI 49686 Ph: (231) 946-6336

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Dentist in Traverse City, MI

Dr. John S Kerns, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4620 North Us Hwy 31 North, Traverse City, MI 49686 Phone: 231-938-9600 Fax: 231-438-3206
Dr. Frank C Rugani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13300 S West Bay Shore Dr, Suite 1, Traverse City, MI 49684 Phone: 231-946-0207 Fax: 231-946-1004
Lance Beers, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 5217 N Royal Dr, Traverse City, MI 49684 Phone: 231-929-3606
Gary Kaberle, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 218 Brook St, Traverse City, MI 49684 Phone: 231-947-0000 Fax: 231-947-5131
Dr. Jason F Hall, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12776 S West Bay Shore Dr, Traverse City, MI 49684 Phone: 231-946-0070 Fax: 231-946-6026
Dr. Brian N Feeney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4020 Copper Vw, Suite 200, Traverse City, MI 49684 Phone: 231-946-2497
Nicolette Anne Bassett, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10850 E Traverse Hwy Ste 2250, Traverse City, MI 49684 Phone: 231-946-9644

Jonathan Bradley Zoutendam, DDS - Medicare Dentist in Traverse City, MI