Dr Kevin Michael Elliott, DMD is a
Dentist based in Cascade, Idaho. Dr Kevin Michael Elliott is licensed to practice in Idaho (license number D3826) and his current practice location is
220 S Main St, Cascade, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 382-3558.
NPI number for Dr Kevin Michael Elliott is 1104910199 and his current mailing address is Po Box 498, Cascade, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104910199.
Healthcare Provider's Profile
| Full Name | Dr Kevin Michael Elliott |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 220 S Main St, Cascade, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104910199
- Provider Enumeration Date: 10/03/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Kevin Michael Elliott such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104910199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D3826 (Idaho) | 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 Kevin Michael Elliott 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 Kevin Michael Elliott, DMD
Po Box 498,
Cascade, ID 83611
Ph: (208) 382-3558 | Dr Kevin Michael Elliott, DMD
220 S Main St,
Cascade, ID 86311
Ph: (208) 382-3558 |
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