Dr Melissa Boerema, DDS | |
205 E Dakota St, Butler, MO 64730-2113 | |
(844) 853-8937 | |
Not Available |
Full Name | Dr Melissa Boerema |
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Gender | Female |
Speciality | Dentist - General Practice |
Location | 205 E Dakota St, Butler, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457640641 | NPI | - | NPPES |
405546102 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 61142 (Kansas) | Secondary |
1223G0001X | Dentist - General Practice | 2010017989 (Missouri) | Primary |
Entity Name | Compass Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955 |
Mailing Address | Practice Location Address |
---|---|
Dr Melissa Boerema, DDS 1800 Community, Clinton, MO 64735-8804 Ph: (660) 885-8131 | Dr Melissa Boerema, DDS 205 E Dakota St, Butler, MO 64730-2113 Ph: (844) 853-8937 |
Dr. Ronald Leslie Bashor, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 619 W Nursery, Bates County Dental Center, Butler, MO 64730 Phone: 660-679-6767 Fax: 660-679-6811 | |
Jeremy Gutovitz, DDM Dentist Medicare: Medicare Enrolled Practice Location: 205 E Dakota St, Butler, MO 64730 Phone: 844-853-8937 | |
Isaac Curtis Dains, DDS Dentist Medicare: Medicare Enrolled Practice Location: 205 E Dakota St, Butler, MO 64730 Phone: 844-853-8937 | |
Blake Cavender, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 205 E Dakota St, Butler, MO 64730 Phone: 660-679-4636 |