Dane St John, MD in Cody, WY - Medicare Dentist Provider

Dane St John, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Cody, Wyoming. His current practice location is 707 Sheridan Ave, Cody, Wyoming. You can reach out to his office (for appointments etc.) via phone at (307) 578-2500.

Dane St John is licensed to practice in Wyoming (license number 9197A) 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 1689883589.

Contact Information

	Dane St John, MD
	707 Sheridan Ave, Cody, WY 82414
	(307) 578-2500
	(307) 578-2492

Map and Direction

Healthcare Provider's Profile

Full Name	Dane St John
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	707 Sheridan Ave, Cody, Wyoming
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689883589
Provider Enumeration Date: 05/21/2007
Last Update Date: 04/12/2013

Medicare PECOS Information:

PECOS PAC ID: 5092951566
Enrollment ID: I20160203002854

Medical Identifiers

Medical identifiers for Dane St John such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689883589	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	27461 (Alabama)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	9197A (Wyoming)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dane St John allows following entities to bill medicare on his behalf.

Entity Name	Louisiana State University School Of Medicine In New Orleans Faculty G
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477582526 PECOS PAC ID: 0244136448 Enrollment ID: O20031209000661

Entity Name	Anthony Indovina A P D C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801192836 PECOS PAC ID: 4880878503 Enrollment ID: O20110405000187

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. Dane St John 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
Dane St John, MD 707 Sheridan Ave, Cody, WY 82414 Ph: (307) 578-2500	Dane St John, MD 707 Sheridan Ave, Cody, WY 82414 Ph: (307) 578-2500

Reviews and Comments

Dentist in Cody, WY

Derrik Porter Walton, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1525 Bleistein Ave, Cody, WY 82414 Phone: 307-587-2951 Fax: 307-587-2760
Richard Ryan Christie, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1619 S Park Dr, Cody, WY 82414 Phone: 307-587-6249
Dr. Leonard Ray Moore, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1426 Stampede Ave, Cody, WY 82414 Phone: 307-587-6028 Fax: 307-587-6506
Cameron Critchfield, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1531 Bleistein Ave, Cody, WY 82414 Phone: 307-587-0100 Fax: 307-587-0105
Crystal Umphlett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1114 Rumsey Ave, Cody, WY 82414 Phone: 307-527-7571
Joshua George, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1426 Stampede Ave, Cody, WY 82414 Phone: 307-587-6028
H. David Taylor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1114 Rumsey Ave, Cody, WY 82414 Phone: 307-527-7571

Dane St John, MD - Medicare Dentist in Cody, WY