Dr Scott Reo Okubo, DDS is a
Dentist based in Bruceton Mills, West Virginia. Dr Scott Reo Okubo is licensed to practice in West Virginia (license number 2976) and his current practice location is
147 Green & Main, Bruceton Mills, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 379-8101.
NPI number for Dr Scott Reo Okubo is 1346306107 and his current mailing address is Po Box 147, Bruceton Mills, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346306107.
Healthcare Provider's Profile
| Full Name | Dr Scott Reo Okubo |
|---|
| Gender | Male |
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| Speciality | Dentist |
|---|
| Location | 147 Green & Main, Bruceton Mills, West Virginia |
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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: 1346306107
- Provider Enumeration Date: 12/28/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Scott Reo Okubo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1346306107 | NPI | - | NPPES |
| 0134013000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2976 (West 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 Scott Reo Okubo 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 Scott Reo Okubo, DDS
Po Box 147,
Bruceton Mills, WV 26525
Ph: (304) 379-8101 | Dr Scott Reo Okubo, DDS
147 Green & Main,
Bruceton Mills, WV 26519
Ph: (304) 379-8101 |
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