Dr Paul Dean Vidrine, DDS is a medicare enrolled "Dentist - General Practice" provider in Westlake, Louisiana. His current practice location is
902a Shady Ln, Westlake, Louisiana. You can reach out to his office (for appointments etc.) via phone at
(337) 433-1306.
Dr Paul Dean Vidrine is licensed to practice in Louisiana (license number 3896) 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 1598829269.
Healthcare Provider's Profile
Full Name | Dr Paul Dean Vidrine |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 902a Shady Ln, Westlake, Louisiana |
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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: 1598829269
- Provider Enumeration Date: 12/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 2466745724
- Enrollment ID: I20160725000449
Medical Identifiers
Medical identifiers for Dr Paul Dean Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1598829269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3896 (Louisiana) | 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 Paul Dean Vidrine 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 Paul Dean Vidrine, DDS 902a Shady Ln, Westlake, LA 70669 Ph: (337) 433-1306 | Dr Paul Dean Vidrine, DDS 902a Shady Ln, Westlake, LA 70669 Ph: (337) 433-1306 |
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