Dr Casey Russell Shepherd, DMD MD is a
Oral & Maxillofacial Surgery based in Kalispell, Montana. Dr Casey Russell Shepherd is licensed to practice in Montana (license number 11502) and his current practice location is
180 Timberwolf Pkwy, Kalispell, Montana. He can be reached at his office (for appointments etc.) via phone at
(406) 755-6014.
NPI number for Dr Casey Russell Shepherd is 1720305741 and his current mailing address is 180 Timberwolf Pkwy, Kalispell, Montana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720305741.
Healthcare Provider's Profile
Full Name | Dr Casey Russell Shepherd |
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Gender | Male |
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Speciality | Oral & Maxillofacial Surgery |
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Location | 180 Timberwolf Pkwy, Kalispell, Montana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720305741
- Provider Enumeration Date: 04/30/2010
- Last Update Date: 08/10/2021
Medical Identifiers
Medical identifiers for Dr Casey Russell Shepherd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720305741 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 11502 (Montana) | Secondary |
204E00000X | Oral & Maxillofacial Surgery | 11502 (Montana) | 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 Casey Russell Shepherd 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 Casey Russell Shepherd, DMD MD 180 Timberwolf Pkwy, Kalispell, MT 59901-1218 Ph: (406) 755-6014 | Dr Casey Russell Shepherd, DMD MD 180 Timberwolf Pkwy, Kalispell, MT 59901-1218 Ph: (406) 755-6014 |
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