Max Rodeffer, DMD is a medicare enrolled "Dentist" provider in Hamilton, Illinois. His current practice location is
911 Broadway St, Hamilton, Illinois. You can reach out to his office (for appointments etc.) via phone at
(217) 847-3900.
Max Rodeffer is licensed to practice in Illinois (license number ) 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 1053427534.
Healthcare Provider's Profile
Full Name | Max Rodeffer |
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Gender | Male |
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Speciality | Dentist |
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Location | 911 Broadway St, Hamilton, Illinois |
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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: 1053427534
- Provider Enumeration Date: 08/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5890016059
- Enrollment ID: I20150601001057
Medical Identifiers
Medical identifiers for Max Rodeffer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053427534 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (Illinois) | 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. Max Rodeffer 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 |
Max Rodeffer, DMD 911 Broadway St, Hamilton, IL 62341-1436 Ph: (217) 847-3900 | Max Rodeffer, DMD 911 Broadway St, Hamilton, IL 62341-1436 Ph: (217) 847-3900 |
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