Dr Clyde Wilson Butler Ii, DMD is a medicare enrolled "Dentist - General Practice" provider in Stevenson, Alabama. His current practice location is
43200 Us Highway 72, Stevenson, Alabama. You can reach out to his office (for appointments etc.) via phone at
(256) 437-2158.
Dr Clyde Wilson Butler Ii is licensed to practice in Alabama (license number 3153) 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 1730218645.
Healthcare Provider's Profile
Full Name | Dr Clyde Wilson Butler Ii |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 43200 Us Highway 72, Stevenson, Alabama |
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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: 1730218645
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2062790264
- Enrollment ID: I20161021001909
Medical Identifiers
Medical identifiers for Dr Clyde Wilson Butler Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730218645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3153 (Alabama) | 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 Clyde Wilson Butler Ii 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 Clyde Wilson Butler Ii, DMD 43200 Us Highway 72, Stevenson, AL 35772-6702 Ph: (256) 437-2158 | Dr Clyde Wilson Butler Ii, DMD 43200 Us Highway 72, Stevenson, AL 35772-6702 Ph: (256) 437-2158 |
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