Dr Erica Ryan Sparks, DMD is a medicare enrolled "Dentist" provider in Eminence, Kentucky. Her current practice location is
105 Eminence Ter, Eminence, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 845-5338.
Dr Erica Ryan Sparks is licensed to practice in Kentucky (license number 9465) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1831503358.
Healthcare Provider's Profile
Full Name | Dr Erica Ryan Sparks |
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Gender | Female |
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Speciality | Dentist |
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Location | 105 Eminence Ter, Eminence, Kentucky |
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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: 1831503358
- Provider Enumeration Date: 06/12/2014
- Last Update Date: 05/17/2018
Medicare PECOS Information:
- PECOS PAC ID: 1153717814
- Enrollment ID: I20220405001956
Medical Identifiers
Medical identifiers for Dr Erica Ryan Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831503358 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 9465 (Kentucky) | 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 Erica Ryan Sparks 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 Erica Ryan Sparks, DMD 105 Eminence Ter, Eminence, KY 40019-1145 Ph: (502) 845-5338 | Dr Erica Ryan Sparks, DMD 105 Eminence Ter, Eminence, KY 40019 Ph: (502) 845-5338 |
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