Ms Bizu Irving, DDS in New London, CT - Medicare Dentist Provider

Ms Bizu Irving, DDS is a medicare enrolled "Dentist" provider in New London, Connecticut. Her current practice location is 1 Shaws Cv, New London, Connecticut. You can reach out to her office (for appointments etc.) via phone at (860) 447-8304.

Ms Bizu Irving is licensed to practice in Connecticut (license number 12404) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1245588664.

Contact Information

	Ms Bizu Irving, DDS
	1 Shaws Cv, New London, CT 06320-4902
	(860) 447-8304
	Not Available

Healthcare Provider's Profile

Full Name	Ms Bizu Irving
Gender	Female
Speciality	Dentist
Location	1 Shaws Cv, New London, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245588664
Provider Enumeration Date: 08/15/2012
Last Update Date: 12/22/2021

Medicare PECOS Information:

PECOS PAC ID: 9234442443
Enrollment ID: I20191008000206

Medical Identifiers

Medical identifiers for Ms Bizu Irving such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245588664	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	12404 (Connecticut)	Primary
122300000X	Dentist	056568 (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. Ms Bizu Irving 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
Ms Bizu Irving, DDS 1 Shaws Cv, New London, CT 06320-4902 Ph: (860) 447-8304	Ms Bizu Irving, DDS 1 Shaws Cv, New London, CT 06320-4902 Ph: (860) 447-8304

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Ms Bizu Irving, DDS - Medicare Dentist in New London, CT