Dr Stacy Elmo Robinson, DDS is a
Dentist - General Practice based in Mtn Home, Idaho. Dr Stacy Elmo Robinson is licensed to practice in Idaho (license number D3517) and his current practice location is
925 W 6th S, Mtn Home, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 587-2222.
NPI number for Dr Stacy Elmo Robinson is 1528180254 and his current mailing address is 925 W 6th S, Mtn Home, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528180254.
Healthcare Provider's Profile
| Full Name | Dr Stacy Elmo Robinson |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 925 W 6th S, Mtn Home, Idaho |
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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: 1528180254
- Provider Enumeration Date: 04/04/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Stacy Elmo Robinson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528180254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D3517 (Idaho) | 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 Stacy Elmo Robinson 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 Stacy Elmo Robinson, DDS
925 W 6th S,
Mtn Home, ID 83647-3300
Ph: (208) 587-2222 | Dr Stacy Elmo Robinson, DDS
925 W 6th S,
Mtn Home, ID 83647-3300
Ph: (208) 587-2222 |
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