Dr Harvey Samuel Coco, DMD is a medicare enrolled "Dentist - General Practice" provider in Granville, New York. His current practice location is
89 North St, Granville, New York. You can reach out to his office (for appointments etc.) via phone at
(518) 642-2111.
Dr Harvey Samuel Coco is licensed to practice in Texas (license number 31594) 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 1023001351.
Healthcare Provider's Profile
| Full Name | Dr Harvey Samuel Coco |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 89 North St, Granville, New York |
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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: 1023001351
- Provider Enumeration Date: 08/23/2005
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 6608139985
- Enrollment ID: I20180419001800
Medical Identifiers
Medical identifiers for Dr Harvey Samuel Coco such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023001351 | NPI | - | NPPES |
| 02362544 | Medicaid | NE | |
| 1004207 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 044790 (New York) | Secondary |
| 1223G0001X | Dentist - General Practice | 31594 (Texas) | 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 Harvey Samuel Coco 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 Harvey Samuel Coco, DMD
7403 O'connor Drive,
Round Rock, TX 78681
Ph: (512) 651-5090 | Dr Harvey Samuel Coco, DMD
89 North St,
Granville, NY 12832-1138
Ph: (518) 642-2111 |
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