Dr Jerry Mounts, DDS is a
Dentist - General Practice based in Matewan, West Virginia. Dr Jerry Mounts is licensed to practice in West Virginia (license number 2741) and his current practice location is
1 Mate Street, Matewan, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 426-4161.
NPI number for Dr Jerry Mounts is 1164824868 and his current mailing address is Po Box 537, Matewan, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164824868.
Healthcare Provider's Profile
| Full Name | Dr Jerry Mounts |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 1 Mate Street, Matewan, West Virginia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1164824868
- Provider Enumeration Date: 09/24/2014
- Last Update Date: 09/24/2014
Medical Identifiers
Medical identifiers for Dr Jerry Mounts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164824868 | NPI | - | NPPES |
| 0137275000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 2741 (West Virginia) | 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 Jerry Mounts is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jerry Mounts, DDS
Po Box 537,
Matewan, WV 25678-0537
Ph: (304) 426-4161 | Dr Jerry Mounts, DDS
1 Mate Street,
Matewan, WV 25678-0537
Ph: (304) 426-4161 |
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