Dr Tad E Hancock, DDS is a
Dentist - General Practice based in Chubbuck, Idaho. Dr Tad E Hancock is licensed to practice in Idaho (license number 3507) and his current practice location is
485 West Chubbuck Road Suite A, Chubbuck, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 234-1006.
NPI number for Dr Tad E Hancock is 1528139201 and his current mailing address is 485 West Chubbuck Road Suite A, Chubbuck, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1528139201.
Healthcare Provider's Profile
| Full Name | Dr Tad E Hancock |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 485 West Chubbuck Road Suite A, Chubbuck, 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: 1528139201
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 06/08/2023
Medical Identifiers
Medical identifiers for Dr Tad E Hancock such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528139201 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3507 (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 Tad E Hancock 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 Tad E Hancock, DDS
485 West Chubbuck Road Suite A,
Chubbuck, ID 83202
Ph: (208) 234-1006 | Dr Tad E Hancock, DDS
485 West Chubbuck Road Suite A,
Chubbuck, ID 83202
Ph: (208) 234-1006 |
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