Travis Edward Perry, DDS is a medicare enrolled "Dentist" provider in Moosic, Pennsylvania. His current practice location is
502 Church Street, Moosic, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(570) 344-3500.
Travis Edward Perry is licensed to practice in Pennsylvania (license number DS039537) 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 1104266824.
Healthcare Provider's Profile
| Full Name | Travis Edward Perry |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 502 Church Street, Moosic, Pennsylvania |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1104266824
- Provider Enumeration Date: 06/26/2013
- Last Update Date: 01/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 1951673268
- Enrollment ID: I20200218001290
Medical Identifiers
Medical identifiers for Travis Edward Perry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104266824 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | DS039537 (Pennsylvania) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Travis Edward Perry allows following entities to bill medicare on his behalf.
| Entity Name | Greater Philadelphia Health Action Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205140902
PECOS PAC ID: 9537064977
Enrollment ID: O20110602000389 |
|---|
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. Travis Edward Perry 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 |
|---|
Travis Edward Perry, DDS
1401 S 31st St, Fl 2,
Philadelphia, PA 19146-3506
Ph: (215) 925-2400 | Travis Edward Perry, DDS
502 Church Street,
Moosic, PA 18507
Ph: (570) 344-3500 |
Reviews and Comments