Dr Austin Port, DMD is a medicare enrolled "Dentist - General Practice" provider in Beachwood, New Jersey. His current practice location is
15 Brigantine St, Beachwood, New Jersey. You can reach out to his office (for appointments etc.) via phone at
(732) 581-9301.
Dr Austin Port is licensed to practice in New Jersey (license number 22DI02648300) 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 1811367022.
Healthcare Provider's Profile
Full Name | Dr Austin Port |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 15 Brigantine St, Beachwood, New Jersey |
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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: 1811367022
- Provider Enumeration Date: 09/30/2015
- Last Update Date: 08/08/2016
Medicare PECOS Information:
- PECOS PAC ID: 4284912403
- Enrollment ID: I20161024000084
Medical Identifiers
Medical identifiers for Dr Austin Port such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811367022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 22DI02648300 (New Jersey) | 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 Austin Port 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 |
Dr Austin Port, DMD 15 Brigantine St, Beachwood, NJ 08722-2900 Ph: (732) 581-9301 | Dr Austin Port, DMD 15 Brigantine St, Beachwood, NJ 08722-2900 Ph: (732) 581-9301 |
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