Dr Emerson G Godbolt, DMD in Sandpoint, ID - Medicare Dentist Provider

Dr Emerson G Godbolt, DMD is a medicare enrolled "Dentist - General Practice" provider in Sandpoint, Idaho. His current practice location is 1310 Ponderosa Dr Ste A, Sandpoint, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 263-7641.

Dr Emerson G Godbolt is licensed to practice in Idaho (license number 5219) 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 1902211725.

Contact Information

	Dr Emerson G Godbolt, DMD
	1310 Ponderosa Dr Ste A, Sandpoint, ID 83864-5073
	(208) 263-7641
	(208) 265-4333

Healthcare Provider's Profile

Full Name	Dr Emerson G Godbolt
Gender	Male
Speciality	Dentist - General Practice
Location	1310 Ponderosa Dr Ste A, Sandpoint, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902211725
Provider Enumeration Date: 07/01/2014
Last Update Date: 03/05/2024

Medicare PECOS Information:

PECOS PAC ID: 3870894496
Enrollment ID: I20151223000952

Medical Identifiers

Medical identifiers for Dr Emerson G Godbolt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902211725	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	5219 (Idaho)	Primary
122300000X	Dentist	7811 (Montana)	Secondary
122300000X	Dentist	DEN-DEN-LIC-7811 (Montana)	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. Dr Emerson G Godbolt 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 Emerson G Godbolt, DMD 1310 Ponderosa Dr Ste A, Sandpoint, ID 83864-5073 Ph: (208) 263-7641	Dr Emerson G Godbolt, DMD 1310 Ponderosa Dr Ste A, Sandpoint, ID 83864-5073 Ph: (208) 263-7641

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Dentist in Sandpoint, ID

Robert H Harrison, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1575 Ontario St, Sandpoint, ID 83864 Phone: 208-263-4353 Fax: 208-265-7223
Ronald W Forsberg, DDS PA Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Pine St, Sandpoint, ID 83864 Phone: 208-265-4115 Fax: 208-265-2365
Dr. Phillip Arnold Glidden, DDS Dentist Medicare: Medicare Enrolled Practice Location: 103 W. Superior St, Sandpoint, ID 83864 Phone: 208-263-8514
Todd Michael House, DMD Dentist Medicare: Medicare Enrolled Practice Location: 1305 Hwy 2 West, Sandpoint, ID 83864 Phone: 208-263-6806 Fax: 208-265-2231
Dr. John Joseph Wilson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2005 Pine St, Sandpoint, ID 83864 Phone: 208-263-8535
Marc L Natoni, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2025 Pine St, Sandpoint, ID 83864 Phone: 208-265-4558 Fax: 208-263-5721
Dr. Mark William Hawn, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2025 Pine St, Sandpoint, ID 83864 Phone: 208-265-4558 Fax: 208-263-5721

Dr Emerson G Godbolt, DMD - Medicare Dentist in Sandpoint, ID