Kelly Catherine Bast, DDS - Medicare Dentist in Fairbanks, AK

Kelly Catherine Bast, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fairbanks, Alaska. Her current practice location is 3112 Airport Way Ste 1, Fairbanks, Alaska. You can reach out to her office (for appointments etc.) via phone at (907) 452-1250.

Kelly Catherine Bast is licensed to practice in Alaska (license number 1188) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1740358753.

Contact Information

Kelly Catherine Bast, DDS
3112 Airport Way Ste 1,
Fairbanks, AK 99709-4768
(907) 452-1250
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKelly Catherine Bast
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location3112 Airport Way Ste 1, Fairbanks, Alaska
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1740358753
  • Provider Enumeration Date: 11/30/2006
  • Last Update Date: 09/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8921315383
  • Enrollment ID: I20150916003710

Medical Identifiers

Medical identifiers for Kelly Catherine Bast such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1740358753NPI-NPPES
1188OtherAKSTATE OF ALASKA LIC.

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 1188 (Alaska)Primary
122300000XDentist 1188 (Alaska)Secondary
1223X2210XDentist - Orofacial Pain 1188 (Alaska)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. Kelly Catherine Bast 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 AddressPractice Location Address
Kelly Catherine Bast, DDS
3112 Airport Way Ste 1,
Fairbanks, AK 99709-4768

Ph: (907) 452-1250
Kelly Catherine Bast, DDS
3112 Airport Way Ste 1,
Fairbanks, AK 99709-4768

Ph: (907) 452-1250

Reviews and Comments


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Phone: 907-456-5600    Fax: 907-451-6470

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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