Dr Bradley Paul Laconi, DDS is a medicare enrolled "Dentist - General Practice" provider in Chesterfield, Indiana. His current practice location is
11 Skyview Dr, Chesterfield, Indiana. You can reach out to his office (for appointments etc.) via phone at
(765) 378-0271.
Dr Bradley Paul Laconi is licensed to practice in Indiana (license number 12008802) 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 1578587630.
Healthcare Provider's Profile
Full Name | Dr Bradley Paul Laconi |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 11 Skyview Dr, Chesterfield, Indiana |
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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: 1578587630
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4385964469
- Enrollment ID: I20150604002470
Medical Identifiers
Medical identifiers for Dr Bradley Paul Laconi such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578587630 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 12008802 (Indiana) | 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 Bradley Paul Laconi 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 Bradley Paul Laconi, DDS 11 Skyview Dr, Chesterfield, IN 46017-1057 Ph: (765) 378-0271 | Dr Bradley Paul Laconi, DDS 11 Skyview Dr, Chesterfield, IN 46017-1057 Ph: (765) 378-0271 |
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