Dr Brent Tracy Schvaneveldt, DMD is a
Dentist - General Practice based in Aberdeen, Idaho. Dr Brent Tracy Schvaneveldt is licensed to practice in Idaho (license number D-1614) and his current practice location is
81 West Washington, Aberdeen, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 397-4419.
NPI number for Dr Brent Tracy Schvaneveldt is 1720125230 and his current mailing address is Po Box 837, P.o. Box 837, Aberdeen, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720125230.
Healthcare Provider's Profile
| Full Name | Dr Brent Tracy Schvaneveldt |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 81 West Washington, Aberdeen, Idaho |
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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: 1720125230
- Provider Enumeration Date: 01/31/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Brent Tracy Schvaneveldt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720125230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D-1614 (Idaho) | 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 Brent Tracy Schvaneveldt 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 Brent Tracy Schvaneveldt, DMD
Po Box 837, P.o. Box 837,
Aberdeen, ID 83210-0837
Ph: (208) 397-4198 | Dr Brent Tracy Schvaneveldt, DMD
81 West Washington,
Aberdeen, ID 83210
Ph: (208) 397-4419 |
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