Dr Michael Troy Board, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Richmond, Virginia. His current practice location is
1250 E Marshall St, Richmond, Virginia. You can reach out to his office (for appointments etc.) via phone at
(804) 828-9000.
Dr Michael Troy Board is licensed to practice in Virginia (license number 0401416569) 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 1417518069.
Healthcare Provider's Profile
| Full Name | Dr Michael Troy Board |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1250 E Marshall St, Richmond, Virginia |
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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: 1417518069
- Provider Enumeration Date: 06/25/2019
- Last Update Date: 09/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 2961739644
- Enrollment ID: I20190805001397
Medical Identifiers
Medical identifiers for Dr Michael Troy Board such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417518069 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 0401416569 (Virginia) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | 0401416569 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 0401416569 (Virginia) | 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 Michael Troy Board 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 Michael Troy Board, DDS
5357 Snow Owl Dr,
Roanoke, VA 24018-5076
Ph: (540) 588-2645 | Dr Michael Troy Board, DDS
1250 E Marshall St,
Richmond, VA 23298-5051
Ph: (804) 828-9000 |
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