Dr Edwin Ray Connelly, DDS in Beaufort, SC

Dr Edwin Ray Connelly, DDS is a medicare enrolled "Dentist - General Practice" provider in Beaufort, South Carolina. His current practice location is 1 Pinckey Blvd, Beaufort, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 228-4911.

Dr Edwin Ray Connelly is licensed to practice in Arkansas (license number 2073) 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 1962482414.

Contact Information

	Dr Edwin Ray Connelly, DDS
	1 Pinckey Blvd, Beaufort, SC 29902
	(843) 228-4911
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Edwin Ray Connelly
Gender	Male
Speciality	Dentist - General Practice
Location	1 Pinckey Blvd, Beaufort, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962482414
Provider Enumeration Date: 01/20/2006
Last Update Date: 07/13/2007

Medicare PECOS Information:

PECOS PAC ID: 6800131079
Enrollment ID: I20181215000224

Medical Identifiers

Medical identifiers for Dr Edwin Ray Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962482414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2073 (Arkansas)	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 Edwin Ray Connelly allows following entities to bill medicare on his behalf.

Entity Name	East Carolina University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972551919 PECOS PAC ID: 0244143246 Enrollment ID: O20031106000400

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 Edwin Ray Connelly 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 Edwin Ray Connelly, DDS 132 Fuller Street, Beaufort, SC 29902 Ph: (843) 228-4911	Dr Edwin Ray Connelly, DDS 1 Pinckey Blvd, Beaufort, SC 29902 Ph: (843) 228-4911

Reviews and Comments

Dentist in Beaufort, SC

Dr. Jeremy Robert Gies, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-3500
Dr. Taylor Spence Turner, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1274 Ribaut Rd, Beaufort, SC 29902 Phone: 843-524-6363
Douglas Roger Gillett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort, Attn:prof Affairs Coordinator, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196
Kurt John Breiling, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort Attn Professional Affairs Coord, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196
Dr. Duy Thien Vinh Truong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5600
Dr. Jeffrey B Ryba, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1 Pinckney Blvd, Naval Hospital Beaufort, Beaufort, SC 29902 Phone: 843-228-5200
Dr. David Paul Babb, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 700 Parris Island Gtwy, Beaufort, SC 29906 Phone: 843-525-1113

Dr Edwin Ray Connelly, DDS - Medicare Dentist in Beaufort, SC