Dr Mary Kathleen Harrell, DMD is a medicare enrolled "Dentist - General Practice" provider in Bellevue, Idaho. Her current practice location is
621 N Main St., Bellevue, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 725-3145.
Dr Mary Kathleen Harrell is licensed to practice in Idaho (license number 9161076) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083640007.
Healthcare Provider's Profile
| Full Name | Dr Mary Kathleen Harrell |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 621 N Main St., Bellevue, Idaho |
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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: 1083640007
- Provider Enumeration Date: 06/23/2006
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 3072852334
- Enrollment ID: I20190304001517
Medical Identifiers
Medical identifiers for Dr Mary Kathleen Harrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083640007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | D7115 (Oregon) | Secondary |
| 1223G0001X | Dentist - General Practice | 9161076 (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 Mary Kathleen Harrell 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 Mary Kathleen Harrell, DMD
2222 Sw Quinney Dr.,
Pendleton, OR 97801
Ph: (541) 240-4497 | Dr Mary Kathleen Harrell, DMD
621 N Main St.,
Bellevue, ID 83313
Ph: (208) 725-3145 |
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