Mark E Duke, DMD is a medicare enrolled "Dentist" provider in Priest River, Idaho. His current practice location is
103 Main St, Priest River, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 442-1241.
Mark E Duke is licensed to practice in Idaho (license number D3968) 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 1538246301.
Healthcare Provider's Profile
| Full Name | Mark E Duke |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 103 Main St, Priest River, 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: 1538246301
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 03/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284910324
- Enrollment ID: I20210510000870
Medical Identifiers
Medical identifiers for Mark E Duke such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538246301 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | D3968 (Idaho) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mark E Duke allows following entities to bill medicare on his behalf.
| Entity Name | Intermountain Dental, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184217168
PECOS PAC ID: 9638588395
Enrollment ID: O20210510000749 |
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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. Mark E Duke 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 |
|---|
Mark E Duke, DMD
Po Box 1477,
Priest River, ID 83856
Ph: (208) 448-1241 | Mark E Duke, DMD
103 Main St,
Priest River, ID 83856-5059
Ph: (208) 442-1241 |
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