Dr Joseph Allan Craddock, DDS is a medicare enrolled "Dentist - General Practice" provider in Attica, New York. His current practice location is
3325 E Main Street Rd, Attica, New York. You can reach out to his office (for appointments etc.) via phone at
(585) 591-1404.
Dr Joseph Allan Craddock is licensed to practice in New York (license number 048125) 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 1275629875.
Healthcare Provider's Profile
| Full Name | Dr Joseph Allan Craddock |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 3325 E Main Street Rd, Attica, New York |
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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: 1275629875
- Provider Enumeration Date: 10/04/2006
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557676376
- Enrollment ID: I20151016001674
Medical Identifiers
Medical identifiers for Dr Joseph Allan Craddock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1275629875 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 048125 (New York) | 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 Joseph Allan Craddock 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 |
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Dr Joseph Allan Craddock, DDS
3325 E. Main Street,
Attica, NY 14011
Ph: (585) 591-3509 | Dr Joseph Allan Craddock, DDS
3325 E Main Street Rd,
Attica, NY 14011
Ph: (585) 591-1404 |
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