Anthony Distler, DMD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Louisville, Kentucky. His current practice location is
2221 Meadow Dr, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(502) 523-2433.
Anthony Distler is licensed to practice in * (Not Available) (license number ) 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 1407210289.
Healthcare Provider's Profile
Full Name | Anthony Distler |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 2221 Meadow Dr, Louisville, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407210289
- Provider Enumeration Date: 04/07/2016
- Last Update Date: 06/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 5698069854
- Enrollment ID: I20160810002038
Medical Identifiers
Medical identifiers for Anthony Distler such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407210289 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 9803 (Kentucky) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Anthony Distler 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 |
Anthony Distler, DMD 7907 Stonydale Ln, Louisville, KY 40220-5037 Ph: () - | Anthony Distler, DMD 2221 Meadow Dr, Louisville, KY 40218-1330 Ph: (502) 523-2433 |
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