Dr Mathew Randle Dennison, in Austin, TX - Medicare Dentist Provider

Dr Mathew Randle Dennison, is a medicare enrolled "Dentist - Endodontics" provider in Austin, Texas. His current practice location is 2806 Flintrock Trce # A206, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (512) 263-3355.

Dr Mathew Randle Dennison is licensed to practice in Texas (license number 30161) 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 1477973295.

Contact Information

	Dr Mathew Randle Dennison,
	2806 Flintrock Trce # A206, Austin, TX 78738-1745
	(512) 263-3355
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Mathew Randle Dennison
Gender	Male
Speciality	Dentist - Endodontics
Location	2806 Flintrock Trce # A206, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477973295
Provider Enumeration Date: 04/19/2014
Last Update Date: 09/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1658591318
Enrollment ID: I20140930002368

Medical Identifiers

Medical identifiers for Dr Mathew Randle Dennison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477973295	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	30161 (Texas)	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 Mathew Randle Dennison 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 Mathew Randle Dennison, 2806 Flintrock Trce # A206, Austin, TX 78738-1745 Ph: (512) 263-3335	Dr Mathew Randle Dennison, 2806 Flintrock Trce # A206, Austin, TX 78738-1745 Ph: (512) 263-3355

Reviews and Comments

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Dr Mathew Randle Dennison, - Medicare Dentist in Austin, TX