Craig H Fountain, DDS in Traverse City, MI

Craig H Fountain, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Traverse City, Michigan. His current practice location is 12776 S West Bay Shore Dr, Traverse City, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 946-3512.

Craig H Fountain is licensed to practice in Michigan (license number 2901018208) 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 1992759625.

Contact Information

	Craig H Fountain, DDS
	12776 S West Bay Shore Dr, Traverse City, MI 49684-5451
	(231) 946-3512
	(231) 946-1908

Map and Direction

Healthcare Provider's Profile

Full Name	Craig H Fountain
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	12776 S West Bay Shore Dr, Traverse City, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992759625
Provider Enumeration Date: 05/19/2006
Last Update Date: 12/27/2007

Medicare PECOS Information:

PECOS PAC ID: 7113956087
Enrollment ID: I20200131000792

Medical Identifiers

Medical identifiers for Craig H Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992759625	NPI	-	NPPES
4756423	Medicaid	MI
1003095605	Other	MI	NPI GROUP #
4756432	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	2901018208 (Michigan)	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. Craig H Fountain 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
Craig H Fountain, DDS 1010 Cass St, Traverse City, MI 49684-3234 Ph: (231) 392-5810	Craig H Fountain, DDS 12776 S West Bay Shore Dr, Traverse City, MI 49684-5451 Ph: (231) 946-3512

Reviews and Comments

Dentist in Traverse City, MI

Dr. John S Kerns, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4620 North Us Hwy 31 North, Traverse City, MI 49686 Phone: 231-938-9600 Fax: 231-438-3206
Dr. Frank C Rugani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 13300 S West Bay Shore Dr, Suite 1, Traverse City, MI 49684 Phone: 231-946-0207 Fax: 231-946-1004
Lance Beers, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 5217 N Royal Dr, Traverse City, MI 49684 Phone: 231-929-3606
Gary Kaberle, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 218 Brook St, Traverse City, MI 49684 Phone: 231-947-0000 Fax: 231-947-5131
Dr. Jason F Hall, D.D.S.,M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 12776 S West Bay Shore Dr, Traverse City, MI 49684 Phone: 231-946-0070 Fax: 231-946-6026
Dr. Brian N Feeney, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4020 Copper Vw, Suite 200, Traverse City, MI 49684 Phone: 231-946-2497
Nicolette Anne Bassett, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10850 E Traverse Hwy Ste 2250, Traverse City, MI 49684 Phone: 231-946-9644

Craig H Fountain, DDS - Medicare Dentist in Traverse City, MI