Dr John Spencer Phelps, DDS is a
Dentist based in Makanda, Illinois. Dr John Spencer Phelps is licensed to practice in Illinois (license number 019014490) and his current practice location is
180 Stone Lake Dr, Makanda, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 549-4550.
NPI number for Dr John Spencer Phelps is 1033469036 and his current mailing address is 180 Stone Lake Drive, Makanda, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1033469036.
Healthcare Provider's Profile
Full Name | Dr John Spencer Phelps |
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Gender | Male |
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Speciality | Dentist |
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Location | 180 Stone Lake Dr, Makanda, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1033469036
- Provider Enumeration Date: 09/17/2012
- Last Update Date: 09/17/2012
Medical Identifiers
Medical identifiers for Dr John Spencer Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033469036 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019014490 (Illinois) | Primary |
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 021000826 (Illinois) | Secondary |
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 Spencer Phelps 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 John Spencer Phelps, DDS 180 Stone Lake Drive, Makanda, IL 62958-2730 Ph: (618) 549-4550 | Dr John Spencer Phelps, DDS 180 Stone Lake Dr, Makanda, IL 62958-2730 Ph: (618) 549-4550 |
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