Dr Alex R Vanacker, DDS is a
Dentist based in Penrose, Colorado. Dr Alex R Vanacker is licensed to practice in Colorado (license number COLO105937) and his current practice location is
712 Broadway St, Penrose, Colorado. He can be reached at his office (for appointments etc.) via phone at
(719) 372-3041.
NPI number for Dr Alex R Vanacker is 1083723118 and his current mailing address is Po Box 318, 712 S Broadway, Penrose, Colorado. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083723118.
Healthcare Provider's Profile
| Full Name | Dr Alex R Vanacker |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
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| Location | 712 Broadway St, Penrose, Colorado |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1083723118
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Alex R Vanacker such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083723118 | NPI | - | NPPES |
| 89152 | Other | | UNITED CONCORDIA |
| 02105930 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | COLO105937 (Colorado) | 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. Dr Alex R Vanacker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Alex R Vanacker, DDS
Po Box 318, 712 S Broadway,
Penrose, CO 81240-0318
Ph: (719) 372-3041 | Dr Alex R Vanacker, DDS
712 Broadway St,
Penrose, CO 81240-9003
Ph: (719) 372-3041 |
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