Dr Terry Tobias Devore, DDS is a medicare enrolled "Dentist" provider in Spirit Lake, Idaho. His current practice location is
6070 W. Jackson Street, Spirit Lake, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 623-6400.
Dr Terry Tobias Devore is licensed to practice in Idaho (license number D-3702) 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 1558463109.
Healthcare Provider's Profile
| Full Name | Dr Terry Tobias Devore |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 6070 W. Jackson Street, Spirit Lake, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1558463109
- Provider Enumeration Date: 09/03/2006
- Last Update Date: 03/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274848072
- Enrollment ID: I20150821013736
Medical Identifiers
Medical identifiers for Dr Terry Tobias Devore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558463109 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D-3702 (Idaho) | Primary |
| 122300000X | Dentist | 8168 (Kentucky) | Secondary |
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 Terry Tobias Devore 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 Terry Tobias Devore, DDS
Po Box 1389,
Spirit Lake, ID 83869-1389
Ph: (208) 623-6400 | Dr Terry Tobias Devore, DDS
6070 W. Jackson Street,
Spirit Lake, ID 83869
Ph: (208) 623-6400 |
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