Dr John C Tackett, DMD in Salem, IN - Medicare Dentist Provider

Dr John C Tackett, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Salem, Indiana. His current practice location is 102 N Harrison St, Salem, Indiana. You can reach out to his office (for appointments etc.) via phone at (812) 883-4281.

Dr John C Tackett is licensed to practice in Indiana (license number 12009512A) 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 1578666426.

Contact Information

	Dr John C Tackett, DMD
	102 N Harrison St, Salem, IN 47167-1426
	(812) 883-4281
	(812) 883-4289

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John C Tackett
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	102 N Harrison St, Salem, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578666426
Provider Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6305161787
Enrollment ID: I20150205001255

Medical Identifiers

Medical identifiers for Dr John C Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578666426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	12009512A (Indiana)	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 John C Tackett 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 John C Tackett, DMD 102 N Harrison St, Salem, IN 47167-1426 Ph: (812) 883-4281	Dr John C Tackett, DMD 102 N Harrison St, Salem, IN 47167-1426 Ph: (812) 883-4281

Reviews and Comments

Dentist in Salem, IN

Dr. Tricia K Wheeler, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 North Harrison Street, Salem, IN 47167 Phone: 812-883-5804 Fax: 812-883-0603
Dr. James Robert Agan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 200 Grandview Dr, Salem, IN 47167 Phone: 812-883-1999 Fax: 812-883-7099
Dr. Gene Forrest Hedrick, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 North Harrison Street, Salem, IN 47167 Phone: 812-883-5804 Fax: 812-883-0603
Dr. Richard Michael Grassmyer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 200 E Hackberry St, Salem, IN 47167 Phone: 812-883-3202 Fax: 812-883-1630

Dr John C Tackett, DMD - Medicare Dentist in Salem, IN