Dr Ronald Lewis Proctor, DDS is a medicare enrolled "General Practice" physician in Carrollton, Texas. His current practice location is
3740 N Josey Ln, Ste 121, Carrollton, Texas. You can reach out to his office (for appointments etc.) via phone at
(972) 492-2866.
Dr Ronald Lewis Proctor is licensed to practice in Texas (license number 10344) 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 1881691459.
Physician's Profile
Full Name | Dr Ronald Lewis Proctor |
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Gender | Male |
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Speciality | General Practice |
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Location | 3740 N Josey Ln, Carrollton, Texas |
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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: 1881691459
- Provider Enumeration Date: 06/28/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1355637745
- Enrollment ID: I20160912000998
Medical Identifiers
Medical identifiers for Dr Ronald Lewis Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1881691459 | NPI | - | NPPES |
CM76 | Other | TX | BCBS |
742084 | Other | | UNITED CONCORDIA |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 10344 (Texas) | 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. Dr Ronald Lewis Proctor 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 |
Dr Ronald Lewis Proctor, DDS 3740 N Josey Ln, Ste 121, Carrollton, TX 75007-2471 Ph: (972) 492-2866 | Dr Ronald Lewis Proctor, DDS 3740 N Josey Ln, Ste 121, Carrollton, TX 75007-2471 Ph: (972) 492-2866 |
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