Dr Charlie Buller Iii, DDS is a medicare enrolled "Dentist - General Practice" provider in Iowa, Louisiana. His current practice location is
206 Thompson Ave., Iowa, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 582-7225.
Dr Charlie Buller Iii is licensed to practice in Louisiana (license number 4022) 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 1134254543.
Healthcare Provider's Profile
Full Name | Dr Charlie Buller Iii |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 206 Thompson Ave., Iowa, Louisiana |
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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: 1134254543
- Provider Enumeration Date: 02/23/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 3375844681
- Enrollment ID: I20151210000953
Medical Identifiers
Medical identifiers for Dr Charlie Buller Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134254543 | NPI | - | NPPES |
1840220 | Medicaid | LA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4022 (Louisiana) | 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 Charlie Buller Iii 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 Charlie Buller Iii, DDS Po Box 1179, Iowa, LA 70647-1179 Ph: (337) 582-7225 | Dr Charlie Buller Iii, DDS 206 Thompson Ave., Iowa, LA 70647 Ph: (337) 582-7225 |
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