Dr Eric Peter Fugate, DDS is a medicare enrolled "Dentist - General Practice" provider in Vonore, Tennessee. His current practice location is
1277 Highway 411, Vonore, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 884-2300.
Dr Eric Peter Fugate is licensed to practice in Tennessee (license number 7869) 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 1275756900.
Healthcare Provider's Profile
| Full Name | Dr Eric Peter Fugate |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 1277 Highway 411, Vonore, Tennessee |
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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: 1275756900
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 08/25/2015
Medicare PECOS Information:
- PECOS PAC ID: 9436463346
- Enrollment ID: I20160509000847
Medical Identifiers
Medical identifiers for Dr Eric Peter Fugate such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275756900 | NPI | - | NPPES |
| 030497439 | Other | TN | TAX ID # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 7869 (Tennessee) | 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 Eric Peter Fugate 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 Eric Peter Fugate, DDS
155 Grand Vis Ste 7,
Vonore, TN 37885-2138
Ph: (423) 884-2300 | Dr Eric Peter Fugate, DDS
1277 Highway 411,
Vonore, TN 37885-2456
Ph: (423) 884-2300 |
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