Thomas Carl Fox, DMD is a medicare enrolled "Dentist - General Practice" provider in Conneaut Lake, Pennsylvania. His current practice location is
11076 State Highway 18, Conneaut Lake, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(814) 382-2945.
Thomas Carl Fox is licensed to practice in Pennsylvania (license number DS024056L) 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 1134216443.
Healthcare Provider's Profile
Full Name | Thomas Carl Fox |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 11076 State Highway 18, Conneaut Lake, Pennsylvania |
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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: 1134216443
- Provider Enumeration Date: 10/06/2006
- Last Update Date: 09/23/2016
Medicare PECOS Information:
- PECOS PAC ID: 8426373440
- Enrollment ID: I20150216001621
Medical Identifiers
Medical identifiers for Thomas Carl Fox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134216443 | NPI | - | NPPES |
186327 | Other | PA | UNITED CONCORDIA ID |
1013460 | Medicaid | PA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DS024056L (Pennsylvania) | 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. Thomas Carl Fox 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 |
Thomas Carl Fox, DMD 11076 State Highway 18, Conneaut Lake, PA 16316-3530 Ph: (814) 382-2945 | Thomas Carl Fox, DMD 11076 State Highway 18, Conneaut Lake, PA 16316-3530 Ph: (814) 382-2945 |
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