David J Dexter Od Pc is a medicare enrolled "Optometrist" provider in Pulaski, New York. Their current practice location is
3333 Maple Ave, Pulaski, New York. You can reach out to their office (for appointments etc.) via phone at
(315) 298-6966.
David J Dexter Od Pc is licensed to practice in New York (license number 003632) and it also participates in the medicare program. David J Dexter Od Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1346377017.
Healthcare Provider's Profile
Full Name | David J Dexter Od Pc |
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Type | Facility |
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Speciality | Optometrist |
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Location | 3333 Maple Ave, Pulaski, New York |
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Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346377017
- Provider Enumeration Date: 02/28/2007
- Last Update Date: 01/22/2008
Medicare PECOS Information:
- PECOS PAC ID: 5698894426
- Enrollment ID: O20100930039550
Medical Identifiers
Medical identifiers for David J Dexter Od Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346377017 | NPI | - | NPPES |
02581597 | Medicaid | NY | |
DF4300 | Other | NY | PALMETTO GBA-RAILROAD MC |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
152W00000X | Optometrist | 003632 (New York) | Primary |
152W00000X | Optometrist | 006508 (New York) | Secondary |
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. David J Dexter Od Pc 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 |
David J Dexter Od Pc Po Box 196, Pulaski, NY 13142-0196 Ph: (315) 298-6966 | David J Dexter Od Pc 3333 Maple Ave, Pulaski, NY 13142-2561 Ph: (315) 298-6966 |
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