Benjamin David Bushnell, is a medicare enrolled "Dentist" provider in Lakeside, Montana. His current practice location is
150 Bills Rd, Lakeside, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 844-3825.
Benjamin David Bushnell is licensed to practice in Montana (license number 2127) 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 1336288455.
Healthcare Provider's Profile
Full Name | Benjamin David Bushnell |
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Gender | Male |
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Speciality | Dentist |
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Location | 150 Bills Rd, Lakeside, Montana |
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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: 1336288455
- Provider Enumeration Date: 02/05/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850699901
- Enrollment ID: I20160406000980
Medical Identifiers
Medical identifiers for Benjamin David Bushnell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336288455 | NPI | - | NPPES |
0113458 | Medicaid | MT | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2127 (Montana) | 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. Benjamin David Bushnell 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 |
Benjamin David Bushnell, Po Box 302, Lakeside, MT 59922 Ph: (406) 844-3825 | Benjamin David Bushnell, 150 Bills Rd, Lakeside, MT 59922 Ph: (406) 844-3825 |
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