Charles J Woodyard, DDS is a medicare enrolled "Dentist" provider in Gould, Arkansas. His current practice location is
407 S Gould Ave, Gould, Arkansas. You can reach out to his office (for appointments etc.) via phone at
(870) 263-4317.
Charles J Woodyard is licensed to practice in Arkansas (license number 1969) 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 1861593410.
Healthcare Provider's Profile
Full Name | Charles J Woodyard |
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Gender | Male |
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Speciality | Dentist |
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Location | 407 S Gould Ave, Gould, Arkansas |
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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: 1861593410
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 07/23/2013
Medicare PECOS Information:
- PECOS PAC ID: 1052602398
- Enrollment ID: I20160616002252
Medical Identifiers
Medical identifiers for Charles J Woodyard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861593410 | NPI | - | NPPES |
149324631 | Medicaid | AK | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 1969 (Arkansas) | 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. Charles J Woodyard 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 |
Charles J Woodyard, DDS 407 S Gould Ave, Gould, AR 71643-5041 Ph: (870) 263-4317 | Charles J Woodyard, DDS 407 S Gould Ave, Gould, AR 71643-5041 Ph: (870) 263-4317 |
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