Dr Robert Bruce Dawe, DDS is a medicare enrolled "Dentist - General Practice" provider in Granville, Illinois. His current practice location is
100 N Mccoy St, Granville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(815) 339-6888.
Dr Robert Bruce Dawe is licensed to practice in Illinois (license number 079-016044) 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 1366445025.
Healthcare Provider's Profile
Full Name | Dr Robert Bruce Dawe |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 100 N Mccoy St, Granville, Illinois |
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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: 1366445025
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 02/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 7810085768
- Enrollment ID: I20160209000083
Medical Identifiers
Medical identifiers for Dr Robert Bruce Dawe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366445025 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 079-016044 (Illinois) | 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 Robert Bruce Dawe 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 Robert Bruce Dawe, DDS Po Box 597, Granville, IL 61326-0597 Ph: (815) 339-6888 | Dr Robert Bruce Dawe, DDS 100 N Mccoy St, Granville, IL 61326-9329 Ph: (815) 339-6888 |
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