Dr Evan L Perry, D D S in Provo, UT - Medicare Dentist Provider

Dr Evan L Perry, D D S is a medicare enrolled "Dentist - General Practice" provider in Provo, Utah. His current practice location is 320 River Park Dr, Suite 225, Provo, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 225-7111.

Dr Evan L Perry is licensed to practice in Utah (license number 142103) 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 1104184837.

Contact Information

	Dr Evan L Perry, D D S
	320 River Park Dr, Suite 225, Provo, UT 84604-6060
	(801) 225-7111
	(801) 764-9777

Healthcare Provider's Profile

Full Name	Dr Evan L Perry
Gender	Male
Speciality	Dentist - General Practice
Location	320 River Park Dr, Provo, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104184837
Provider Enumeration Date: 05/01/2012
Last Update Date: 05/01/2012

Medicare PECOS Information:

PECOS PAC ID: 9537488341
Enrollment ID: I20150429000839

Medical Identifiers

Medical identifiers for Dr Evan L Perry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104184837	NPI	-	NPPES
1134244734	Other	UT	GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	142103 (Utah)	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 Evan L Perry 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 Evan L Perry, D D S 320 River Park Dr, Suite 225, Provo, UT 84604-6060 Ph: (801) 225-7111	Dr Evan L Perry, D D S 320 River Park Dr, Suite 225, Provo, UT 84604-6060 Ph: (801) 225-7111

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Dentist in Provo, UT

Noelle L Wilhelmsen, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 215 W 100 N, Provo, UT 84601 Phone: 801-374-9660
Dr. Tanner Gardner Perry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 River Park Dr Ste 225, Provo, UT 84604 Phone: 801-225-7111
Dr. Steven K. Flick, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1355 N. University Ave., Suite 310, Provo, UT 84604 Phone: 801-373-2693 Fax: 801-374-6316
Corbin Matthews, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 835 N 700 E, Provo, UT 84606 Phone: 801-373-7700 Fax: 801-370-0762
Dr. Louis A Erickson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 N 500 W, Suite 201 B, Provo, UT 84601 Phone: 801-374-5100 Fax: 801-375-2464
Dr. Paul Henry Rogers, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 N. 500 W., #201, Provo, UT 84601 Phone: 801-361-7131
Dr. Gary M Hulet, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 777 N 500 W, Suite 101b, Provo, UT 84601 Phone: 801-375-1275 Fax: 801-375-1294

Dr Evan L Perry, D D S - Medicare Dentist in Provo, UT