Dr Edward Lee Staudt, DDS is a medicare enrolled "Dentist - General Practice" provider in Ft Orange, Florida. His current practice location is
944 Bridgewater Dr, 2b, Ft Orange, Florida. You can reach out to his office (for appointments etc.) via phone at
(386) 756-8953.
Dr Edward Lee Staudt is licensed to practice in Florida (license number DN0009915) 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 1992807960.
Healthcare Provider's Profile
Full Name | Dr Edward Lee Staudt |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 944 Bridgewater Dr, Ft Orange, Florida |
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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: 1992807960
- Provider Enumeration Date: 09/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7315240132
- Enrollment ID: I20160127002565
Medical Identifiers
Medical identifiers for Dr Edward Lee Staudt such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992807960 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DN0009915 (Florida) | 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 Edward Lee Staudt 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 Edward Lee Staudt, DDS 944 Bridgewater Dr, 2b, Ft Orange, FL 32129 Ph: (386) 756-8953 | Dr Edward Lee Staudt, DDS 944 Bridgewater Dr, 2b, Ft Orange, FL 32129 Ph: (386) 756-8953 |
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