Bennie B Alderdice Sr, DMD is a
Oral & Maxillofacial Surgery based in Somerset, Kentucky. Bennie B Alderdice Sr is licensed to practice in Kentucky (license number 4939) and his current practice location is
100 Hardin Ln, Suite B, Somerset, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 679-8568.
NPI number for Bennie B Alderdice Sr is 1518973478 and his current mailing address is 100 Hardin Ln, Suite B, Somerset, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1518973478.
Healthcare Provider's Profile
| Full Name | Bennie B Alderdice Sr |
|---|
| Gender | Male |
|---|
| Speciality | Oral & Maxillofacial Surgery |
|---|
| Location | 100 Hardin Ln, Somerset, Kentucky |
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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: 1518973478
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 12/27/2017
Medical Identifiers
Medical identifiers for Bennie B Alderdice Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518973478 | NPI | - | NPPES |
| 4300039 | Other | KY | UNITED HEALTHCARE MEDICAL |
| 63437-1 | Other | KY | UNITED HEALTHCARE DENTAL |
| 0041586 | Other | TN | BC/BS OF TN. |
| 64049398 | Medicaid | KY | |
| 000000048337 | Other | KY | ANTHEM BC/BS |
| 5004539 | Other | KY | PASSPORT |
| 60049392 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 4939 (Kentucky) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 4939 (Kentucky) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 4939 (Kentucky) | 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. Bennie B Alderdice Sr 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 |
|---|
Bennie B Alderdice Sr, DMD
100 Hardin Ln, Suite B,
Somerset, KY 42503-3812
Ph: (606) 679-8568 | Bennie B Alderdice Sr, DMD
100 Hardin Ln, Suite B,
Somerset, KY 42503-3812
Ph: (606) 679-8568 |
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