Dr Tom Gudmestad, DDS is a medicare enrolled "Dentist - General Practice" provider in Weiser, Idaho. His current practice location is
522 E 4th St, Weiser, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 549-2213.
Dr Tom Gudmestad is licensed to practice in Idaho (license number D3117) 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 1851308050.
Healthcare Provider's Profile
| Full Name | Dr Tom Gudmestad |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 522 E 4th St, Weiser, 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: 1851308050
- Provider Enumeration Date: 08/01/2006
- Last Update Date: 06/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 8921390295
- Enrollment ID: I20161005002286
Medical Identifiers
Medical identifiers for Dr Tom Gudmestad such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851308050 | NPI | - | NPPES |
| 61937 | Other | ID | BLUE CROSS ID PAYEE NUMBE |
| 000504200 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D3117 (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 Tom Gudmestad 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 Tom Gudmestad, DDS
522 E 4th St,
Weiser, ID 83672-2205
Ph: (208) 549-2213 | Dr Tom Gudmestad, DDS
522 E 4th St,
Weiser, ID 83672-2205
Ph: (208) 549-2213 |
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