Dr Jeremiah Mckell Funk, DDS is a medicare enrolled "Dentist" provider in Wendell, Idaho. His current practice location is
410 N Idaho St, Wendell, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 536-5441.
Dr Jeremiah Mckell Funk is licensed to practice in Idaho (license number D-4555) 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 1649535493.
Healthcare Provider's Profile
| Full Name | Dr Jeremiah Mckell Funk |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 410 N Idaho St, Wendell, 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: 1649535493
- Provider Enumeration Date: 07/09/2012
- Last Update Date: 02/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5496057416
- Enrollment ID: I20160107003237
Medical Identifiers
Medical identifiers for Dr Jeremiah Mckell Funk such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649535493 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D-4555 (Idaho) | Primary |
| 122300000X | Dentist | 28007 (Texas) | 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 Jeremiah Mckell Funk 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 Jeremiah Mckell Funk, DDS
410 N Idaho St,
Wendell, ID 83355-5038
Ph: (208) 536-5441 | Dr Jeremiah Mckell Funk, DDS
410 N Idaho St,
Wendell, ID 83355-5038
Ph: (208) 536-5441 |
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