Stephen T Canale, DMD is a medicare enrolled "Dentist - General Practice" provider in Lapush, Washington. His current practice location is
560 Quileute Heights, Lapush, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 374-6984.
Stephen T Canale is licensed to practice in Washington (license number DE00011153) 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 1366626715.
Healthcare Provider's Profile
| Full Name | Stephen T Canale |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 560 Quileute Heights, Lapush, Washington |
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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: 1366626715
- Provider Enumeration Date: 12/20/2007
- Last Update Date: 12/20/2007
Medicare PECOS Information:
- PECOS PAC ID: 6103131834
- Enrollment ID: I20150810002789
Medical Identifiers
Medical identifiers for Stephen T Canale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366626715 | NPI | - | NPPES |
| 5400221 | Medicaid | WA | |
| 7084486 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DE00011153 (Washington) | 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. Stephen T Canale 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 |
|---|
Stephen T Canale, DMD
Po Box 189,
La Push, WA 98350-0189
Ph: (360) 374-6984 | Stephen T Canale, DMD
560 Quileute Heights,
Lapush, WA 98350
Ph: (360) 374-6984 |
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