Bertram Edward Lenoir Iii, DDS is a medicare enrolled "Dentist" provider in Spring City, Tennessee. His current practice location is
207 W Rhoa Ave, Spring City, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 365-6215.
Bertram Edward Lenoir Iii is licensed to practice in Tennessee (license number TN0000002324) 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 1538279302.
Healthcare Provider's Profile
Full Name | Bertram Edward Lenoir Iii |
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Gender | Male |
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Speciality | Dentist |
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Location | 207 W Rhoa Ave, Spring City, Tennessee |
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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: 1538279302
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2163734245
- Enrollment ID: I20150701002482
Medical Identifiers
Medical identifiers for Bertram Edward Lenoir Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538279302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | TN0000002324 (Tennessee) | 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. Bertram Edward Lenoir Iii 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 |
Bertram Edward Lenoir Iii, DDS Po Box 399, Spring City, TN 37381-0399 Ph: (423) 362-6215 | Bertram Edward Lenoir Iii, DDS 207 W Rhoa Ave, Spring City, TN 37381-0399 Ph: (423) 365-6215 |
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