Dr Thomas Champion Drew Iv, DDS is a medicare enrolled "Dentist - General Practice" provider in Enfield, North Carolina. His current practice location is
117 Glenview Rd, Enfield, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(252) 445-5998.
Dr Thomas Champion Drew Iv is licensed to practice in North Carolina (license number 5487) 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 1467455444.
Healthcare Provider's Profile
Full Name | Dr Thomas Champion Drew Iv |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 117 Glenview Rd, Enfield, North Carolina |
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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: 1467455444
- Provider Enumeration Date: 05/24/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0941521231
- Enrollment ID: I20150611003255
Medical Identifiers
Medical identifiers for Dr Thomas Champion Drew Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467455444 | NPI | - | NPPES |
899-2206 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5487 (North Carolina) | 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 Thomas Champion Drew Iv 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 Thomas Champion Drew Iv, DDS Po Box 485, Enfield, NC 27823-0485 Ph: (252) 445-5998 | Dr Thomas Champion Drew Iv, DDS 117 Glenview Rd, Enfield, NC 27823-1324 Ph: (252) 445-5998 |
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