Deviprasad M Makonahally, BDS MSC is a medicare enrolled "Dentist" provider in Huntington, Massachusetts. His current practice location is
73 Russell Rd, Huntington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(413) 667-3009.
Deviprasad M Makonahally is licensed to practice in Massachusetts (license number 9482) 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 1508053216.
Healthcare Provider's Profile
Full Name | Deviprasad M Makonahally |
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Gender | Male |
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Speciality | Dentist |
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Location | 73 Russell Rd, Huntington, Massachusetts |
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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: 1508053216
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 09/26/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648582239
- Enrollment ID: I20150710001017
Medical Identifiers
Medical identifiers for Deviprasad M Makonahally such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508053216 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 9482 (Massachusetts) | 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. Deviprasad M Makonahally 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 |
Deviprasad M Makonahally, BDS MSC 73 Russell Rd, Huntington, MA 01050-9777 Ph: (413) 667-3009 | Deviprasad M Makonahally, BDS MSC 73 Russell Rd, Huntington, MA 01050-9777 Ph: (413) 667-3009 |
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