Dr Thane Hepworth, DDS is a medicare enrolled "Dentist" provider in Sugar City, Idaho. His current practice location is
3 E Center St, Sugar City, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 656-2000.
Dr Thane Hepworth is licensed to practice in Idaho (license number D4717) 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 1902211733.
Healthcare Provider's Profile
| Full Name | Dr Thane Hepworth |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 3 E Center St, Sugar City, 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: 1902211733
- Provider Enumeration Date: 07/01/2014
- Last Update Date: 07/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 9133422553
- Enrollment ID: I20160119002122
Medical Identifiers
Medical identifiers for Dr Thane Hepworth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1902211733 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D4717 (Idaho) | Primary |
| 122300000X | Dentist | D1059 (South Dakota) | 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 Thane Hepworth 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 Thane Hepworth, DDS
Po Box 57,
Sugar City, ID 83448-0057
Ph: (208) 656-2000 | Dr Thane Hepworth, DDS
3 E Center St,
Sugar City, ID 83448-1247
Ph: (208) 656-2000 |
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