Courtney Bullard Conn, DMD is a medicare enrolled "Dentist - General Practice" provider in Mount Olive, North Carolina. Her current practice location is
315 Hwy 55, Mount Olive, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 658-9555.
Courtney Bullard Conn is licensed to practice in North Carolina (license number 11855) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639782709.
Healthcare Provider's Profile
Full Name | Courtney Bullard Conn |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 315 Hwy 55, Mount Olive, North Carolina |
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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: 1639782709
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 08/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 3173942562
- Enrollment ID: I20201005001543
Medical Identifiers
Medical identifiers for Courtney Bullard Conn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639782709 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 11855 (North Carolina) | 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. Courtney Bullard Conn 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 |
Courtney Bullard Conn, DMD 3800 Nantucket Rd # B, Greenville, NC 27834-2168 Ph: () - | Courtney Bullard Conn, DMD 315 Hwy 55, Mount Olive, NC 28365 Ph: (919) 658-9555 |
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