Ms Pamela Goodliffe, DMD is a medicare enrolled "Dentist - General Practice" provider in Lava Hot Springs, Idaho. Her current practice location is
585 West Booth, Lava Hot Springs, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 776-5929.
Ms Pamela Goodliffe is licensed to practice in Idaho (license number D3845) 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 1356418412.
Healthcare Provider's Profile
Full Name | Ms Pamela Goodliffe |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 585 West Booth, Lava Hot Springs, Idaho |
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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: 1356418412
- Provider Enumeration Date: 11/30/2006
- Last Update Date: 04/30/2015
Medicare PECOS Information:
- PECOS PAC ID: 5193023984
- Enrollment ID: I20160412000209
Medical Identifiers
Medical identifiers for Ms Pamela Goodliffe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356418412 | NPI | - | NPPES |
8070282 | Medicaid | ID | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D3845 (Idaho) | 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. Ms Pamela Goodliffe 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 |
Ms Pamela Goodliffe, DMD Po Box 458, 585 W Booth, Lava Hot Springs, ID 83246-0458 Ph: (208) 776-5929 | Ms Pamela Goodliffe, DMD 585 West Booth, Lava Hot Springs, ID 83246-0458 Ph: (208) 776-5929 |
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