Dr Michael David Foster, DMD, MPH is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" in Kingsport, Tennessee. His current practice location is
117 W Sevier Ave, Suite 220, Kingsport, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(423) 224-3200.
Dr Michael David Foster is licensed to practice in Kentucky (license number 9027) 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 1962474304.
Provider's Profile
| Full Name | Dr Michael David Foster |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 117 W Sevier Ave, Kingsport, Tennessee |
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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: 1962474304
- Provider Enumeration Date: 02/01/2006
- Last Update Date: 09/13/2016
Medicare PECOS Information:
- PECOS PAC ID: 7113020652
- Enrollment ID: I20151001001208
Medical Identifiers
Medical identifiers for Dr Michael David Foster such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962474304 | NPI | - | NPPES |
| 000000184655 | Other | KY | BCBS PIN # |
| 9500101200 | Medicaid | KY | |
| 970014810 | Other | KY | RR MCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AS0400X | Physician Assistant - Surgical | PA560 (Kentucky) | Secondary |
| 1223P0106X | Dentist - Oral And Maxillofacial Pathology | 9027 (Kentucky) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 9027 (Kentucky) | 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. Dr Michael David Foster allows following entities to bill medicare on his behalf.
| Entity Name | Southern Kentucky Oral Surgery Associates, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013104892
PECOS PAC ID: 5193776425
Enrollment ID: O20050203000829 |
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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 Michael David Foster 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 Michael David Foster, DMD, MPH
117 W Sevier Ave, Suite 220,
Kingsport, TN 37660-3799
Ph: (423) 224-3200 | Dr Michael David Foster, DMD, MPH
117 W Sevier Ave, Suite 220,
Kingsport, TN 37660-3799
Ph: (423) 224-3200 |
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