Dr Paul Thomas Foulk, DMD is a
Dentist - General Practice based in Conneaut Lake, Pennsylvania. Dr Paul Thomas Foulk is licensed to practice in Pennsylvania (license number DS027873L) and his current practice location is
155 N 3rd St, Conneaut Lake, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(814) 382-5100.
NPI number for Dr Paul Thomas Foulk is 1275516619 and his current mailing address is Po Box 492, 155 N 3rd St, Conneaut Lake, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275516619.
Healthcare Provider's Profile
| Full Name | Dr Paul Thomas Foulk |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 155 N 3rd St, Conneaut Lake, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1275516619
- Provider Enumeration Date: 11/21/2005
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Paul Thomas Foulk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275516619 | NPI | - | NPPES |
| 0012612260001 | Medicaid | PA | |
| 66691 | Other | PA | MEDPLUS |
| 10298 | Other | PA | UPMC FOR U |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DS027873L (Pennsylvania) | 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 Thomas Foulk is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Paul Thomas Foulk, DMD
Po Box 492, 155 N 3rd St,
Conneaut Lake, PA 16316-0492
Ph: (814) 382-5100 | Dr Paul Thomas Foulk, DMD
155 N 3rd St,
Conneaut Lake, PA 16316
Ph: (814) 382-5100 |
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