Lon Patrick Spain, DDS is a medicare enrolled "Dentist" provider in Cedar Grove, West Virginia. His current practice location is
408 Alexander Street, Cedar Grove, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 595-1770.
Lon Patrick Spain is licensed to practice in West Virginia (license number 3400) 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 1891765822.
Healthcare Provider's Profile
Full Name | Lon Patrick Spain |
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Gender | Male |
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Speciality | Dentist |
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Location | 408 Alexander Street, Cedar Grove, West Virginia |
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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: 1891765822
- Provider Enumeration Date: 01/24/2006
- Last Update Date: 09/17/2013
Medicare PECOS Information:
- PECOS PAC ID: 1153634811
- Enrollment ID: I20150723009021
Medical Identifiers
Medical identifiers for Lon Patrick Spain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891765822 | NPI | - | NPPES |
7100174300 | Medicaid | KY | |
2036862 | Medicaid | OH | |
7805006000 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 3400 (West Virginia) | 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. Lon Patrick Spain 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 |
Lon Patrick Spain, DDS Po Box 1680, Huntington, WV 25717-1680 Ph: (304) 525-3334 | Lon Patrick Spain, DDS 408 Alexander Street, Cedar Grove, WV 25039 Ph: (304) 595-1770 |
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