Dr David M Prince, DDS is a medicare enrolled "Dentist" provider in Midway, Utah. His current practice location is
210 E Main St Ste 201, Midway, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 654-2822.
Dr David M Prince is licensed to practice in Utah (license number 5923720-9922) 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 1487661534.
Healthcare Provider's Profile
| Full Name | Dr David M Prince |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 210 E Main St Ste 201, Midway, Utah |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487661534
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9931500139
- Enrollment ID: I20210625000241
Medical Identifiers
Medical identifiers for Dr David M Prince such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487661534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 5923720-9922 (Utah) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr David M Prince allows following entities to bill medicare on his behalf.
| Entity Name | Yakutat Tribal Health Board |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871529628
PECOS PAC ID: 4981968369
Enrollment ID: O20180511000635 |
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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 David M Prince 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 David M Prince, DDS
210 E Main St Ste 201,
Midway, UT 84049-6806
Ph: (435) 654-2822 | Dr David M Prince, DDS
210 E Main St Ste 201,
Midway, UT 84049-6806
Ph: (435) 654-2822 |
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