Dr Mark Wayne Froedge, DMD is a medicare enrolled "Dentist" provider in Edmonton, Kentucky. His current practice location is
706 West Stockton Street, Edmonton, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 432-3617.
Dr Mark Wayne Froedge is licensed to practice in Kentucky (license number 6307) 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 1962514737.
Healthcare Provider's Profile
Full Name | Dr Mark Wayne Froedge |
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Gender | Male |
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Speciality | Dentist |
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Location | 706 West Stockton Street, Edmonton, Kentucky |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962514737
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 04/19/2010
Medicare PECOS Information:
- PECOS PAC ID: 8022230085
- Enrollment ID: I20141107000864
Medical Identifiers
Medical identifiers for Dr Mark Wayne Froedge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962514737 | NPI | - | NPPES |
60063070 | Medicaid | KY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 6307 (Kentucky) | 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 Mark Wayne Froedge 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 Mark Wayne Froedge, DMD 706 West Stockton Street Po Box 319, Edmonton, KY 42129 Ph: (270) 432-3617 | Dr Mark Wayne Froedge, DMD 706 West Stockton Street, Edmonton, KY 42129 Ph: (270) 432-3617 |
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