DR. JACK LEE MEDEMAR DDS PC
NPI 1003877952
Dentist - General Practice in Flint, MI

Q: What is Jack Medemar's NPI number?

The NPI number for Jack Medemar is 1003877952. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Q: What is Jack Medemar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jack Medemar was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 30, 2006PECOS Enrolled

G 4221 CORUNNA ROAD, FLINT, MI 48532(810) 732-8020(810) 732-9356 Get Directions Write a Review

NPPES record last updated: April 11, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jack Lee Medemar Dds Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACK LEE MEDEMAR DDS PC (NPI 1003877952) is an individual general practice provider in Flint, Michigan, licensed in Michigan (13484) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003877952

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JACK LEE MEDEMARCredential: DDS PC

Location AddressG 4221 CORUNNA ROADFlint, MI 48532

Mailing Address4221 Corunna RdFlint, MI 48532-4316 · (810) 732-8020 · Fax (810) 732-9356

Phone(810) 732-8020

Fax(810) 732-9356

Sole ProprietorNo

Enumeration DateMarch 30, 2006

Last NPPES UpdateApril 11, 2016

✔ NPI 1003877952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in MI · 13484

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

G 4221 CORUNNA ROAD, Flint, MI 48532

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jack Lee Medemar Dds Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48532 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Medemar's NPI number?

The NPI number for Jack Medemar is 1003877952. It was assigned to this individual provider in the NPPES registry on March 30, 2006.

Where is Jack Medemar located?

Jack Medemar practices at G 4221 Corunna Road, Flint, MI 48532. The listed phone number is (810) 732-8020.

What is Jack Medemar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Jack Medemar enrolled in Medicare?

Yes. Jack Medemar is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jack Medemar was last updated on April 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.