Daniel Godfrey, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in Urbana, Illinois. His current practice location is
611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 326-1297.
Daniel Godfrey is licensed to practice in Illinois (license number 018002288) 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 1861185860.
Healthcare Provider's Profile
Full Name | Daniel Godfrey |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 611 W Park St, Urbana, Illinois |
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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: 1861185860
- Provider Enumeration Date: 05/26/2023
- Last Update Date: 07/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729445119
- Enrollment ID: I20230530001934
Medical Identifiers
Medical identifiers for Daniel Godfrey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861185860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 12014089A (Indiana) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 018002288 (Illinois) | 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. Daniel Godfrey 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 |
Daniel Godfrey, DDS 1501 Hillshire Dr, Urbana, IL 61802-7808 Ph: (317) 383-9097 | Daniel Godfrey, DDS 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 326-1297 |
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