Dr Shantha Murthy, DDS is a medicare enrolled "Dentist - General Practice" provider in Farmington, Illinois. His current practice location is
138 E Fort St, Farmington, Illinois. You can reach out to his office (for appointments etc.) via phone at
(309) 245-2922.
Dr Shantha Murthy is licensed to practice in Illinois (license number 019-15784) 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 1801913256.
Healthcare Provider's Profile
Full Name | Dr Shantha Murthy |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 138 E Fort St, Farmington, 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: 1801913256
- Provider Enumeration Date: 03/23/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1254645799
- Enrollment ID: I20150728006500
Medical Identifiers
Medical identifiers for Dr Shantha Murthy such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801913256 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019-15784 (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 Shantha Murthy 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 Shantha Murthy, DDS 4516 N Sterling Ave, Peoria, IL 61615-3827 Ph: (309) 686-1100 | Dr Shantha Murthy, DDS 138 E Fort St, Farmington, IL 61531-1219 Ph: (309) 245-2922 |
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