Dr Kenneth D Pilgrim, DMD is a medicare enrolled "Dentist" provider in Flintstone, Georgia. His current practice location is
4787 Happy Valley Road, Flintstone, Georgia. You can reach out to his office (for appointments etc.) via phone at
(706) 820-0413.
Dr Kenneth D Pilgrim is licensed to practice in Georgia (license number 9189) 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 1073606703.
Healthcare Provider's Profile
| Full Name | Dr Kenneth D Pilgrim |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 4787 Happy Valley Road, Flintstone, Georgia |
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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: 1073606703
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1951603000
- Enrollment ID: I20160106000541
Medical Identifiers
Medical identifiers for Dr Kenneth D Pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073606703 | NPI | - | NPPES |
| 00205158A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 9189 (Georgia) | 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 Kenneth D Pilgrim 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 Kenneth D Pilgrim, DMD
P. O. Box 217, 4787 Happy Valley Road,
Flintstone, GA 30725
Ph: (706) 820-0413 | Dr Kenneth D Pilgrim, DMD
4787 Happy Valley Road,
Flintstone, GA 30725
Ph: (706) 820-0413 |
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