Dr Mitch Driscoll, DMD is a medicare enrolled "Dentist" provider in Aberdeen, Idaho. His current practice location is
81 W Washington Ave, Aberdeen, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 397-4198.
Dr Mitch Driscoll is licensed to practice in Idaho (license number D4644) 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 1790190692.
Healthcare Provider's Profile
Full Name | Dr Mitch Driscoll |
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Gender | Male |
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Speciality | Dentist |
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Location | 81 W Washington Ave, Aberdeen, Idaho |
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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: 1790190692
- Provider Enumeration Date: 06/30/2014
- Last Update Date: 01/25/2017
Medicare PECOS Information:
- PECOS PAC ID: 3476898263
- Enrollment ID: I20181226000757
Medical Identifiers
Medical identifiers for Dr Mitch Driscoll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790190692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | D4644 (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 Mitch Driscoll 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 Mitch Driscoll, DMD 81 W Washington Ave, Po Box 837, Aberdeen, ID 83210-4801 Ph: (208) 397-4198 | Dr Mitch Driscoll, DMD 81 W Washington Ave, Aberdeen, ID 83210-4801 Ph: (208) 397-4198 |
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