Dennis Eagleeye, LCDC III is a
Counselor - Addiction (substance Use Disorder) based in Thornville, Ohio. Dennis Eagleeye is licensed to practice in Ohio (license number LCDCIII.161692) and his current practice location is
14882 State Route 13, Thornville, Ohio. He can be reached at his office (for appointments etc.) via phone at
(740) 242-2300.
NPI number for Dennis Eagleeye is 1588103717 and his current mailing address is Po Box 894, Cambridge, Ohio. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588103717.
Healthcare Provider's Profile
| Full Name | Dennis Eagleeye |
|---|
| Gender | Male |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 14882 State Route 13, Thornville, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588103717
- Provider Enumeration Date: 02/21/2017
- Last Update Date: 01/25/2022
Medical Identifiers
Medical identifiers for Dennis Eagleeye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588103717 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.161969 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161692 (Ohio) | 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. Dennis Eagleeye is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dennis Eagleeye, LCDC III
Po Box 894,
Cambridge, OH 43725-0894
Ph: () - | Dennis Eagleeye, LCDC III
14882 State Route 13,
Thornville, OH 43076-8954
Ph: (740) 242-2300 |
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