Richard Homer, DMD is a medicare enrolled "Dentist - General Practice" provider in Lisbon, Connecticut. His current practice location is
193 River Rd, #230, Lisbon, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 222-2937.
Richard Homer is licensed to practice in Connecticut (license number 11211) 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 1376959049.
Healthcare Provider's Profile
Full Name | Richard Homer |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 193 River Rd, Lisbon, Connecticut |
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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: 1376959049
- Provider Enumeration Date: 07/02/2014
- Last Update Date: 05/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 1456665660
- Enrollment ID: I20150731016708
Medical Identifiers
Medical identifiers for Richard Homer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376959049 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 11211 (Connecticut) | 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. Richard Homer 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 |
Richard Homer, DMD 193 River Rd, #230, Lisbon, CT 06351-3258 Ph: (860) 222-2937 | Richard Homer, DMD 193 River Rd, #230, Lisbon, CT 06351-3258 Ph: (860) 222-2937 |
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