Mr Mike J Utley, DMD is a medicare enrolled "Dentist - General Practice" provider in Caneyville, Kentucky. His current practice location is
528 East Maple Street, Caneyville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(270) 879-3055.
Mr Mike J Utley is licensed to practice in Kentucky (license number 4030) 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 1477627057.
Healthcare Provider's Profile
Full Name | Mr Mike J Utley |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 528 East Maple Street, Caneyville, Kentucky |
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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: 1477627057
- Provider Enumeration Date: 11/17/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0648590026
- Enrollment ID: I20150527000342
Medical Identifiers
Medical identifiers for Mr Mike J Utley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477627057 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4030 (Kentucky) | 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. Mr Mike J Utley 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 |
Mr Mike J Utley, DMD 528 East Maple Street, P.o. Box 215, Caneyville, KY 42721 Ph: (270) 879-3055 | Mr Mike J Utley, DMD 528 East Maple Street, Caneyville, KY 42721 Ph: (270) 879-3055 |
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