Dr Jerry Michael Carbone, DMD in Boise, ID - Medicare Dentist Provider

Dr Jerry Michael Carbone, DMD is a medicare enrolled "Dentist - Endodontics" provider in Boise, Idaho. His current practice location is 12249 W Mcmillan Rd, Boise, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 917-2855.

Dr Jerry Michael Carbone is licensed to practice in Idaho (license number D-3642EN) 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 1316050628.

Contact Information

	Dr Jerry Michael Carbone, DMD
	12249 W Mcmillan Rd, Boise, ID 83713-0555
	(208) 917-2855
	(208) 258-7553

Healthcare Provider's Profile

Full Name	Dr Jerry Michael Carbone
Gender	Male
Speciality	Dentist - Endodontics
Location	12249 W Mcmillan Rd, Boise, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316050628
Provider Enumeration Date: 08/17/2006
Last Update Date: 10/01/2014

Medicare PECOS Information:

PECOS PAC ID: 0648576793
Enrollment ID: I20160315002886

Medical Identifiers

Medical identifiers for Dr Jerry Michael Carbone such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316050628	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	D-3642EN (Idaho)	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 Jerry Michael Carbone 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 Jerry Michael Carbone, DMD 12249 W Mcmillan Rd, Boise, ID 83713-0555 Ph: (208) 917-2855	Dr Jerry Michael Carbone, DMD 12249 W Mcmillan Rd, Boise, ID 83713-0555 Ph: (208) 917-2855

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Dentist in Boise, ID

Dr. Jace C. Hansen, DMD, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6019 N. Eagle Rd., Boise, ID 83713 Phone: 208-377-2777 Fax: 208-377-3075
Dr. Helen Thu Smith, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8321 W Overland Rd, Boise, ID 83709 Phone: 208-605-3638
Benjamin A Hulbert, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9733 W Ustick Rd, Boise, ID 83704 Phone: 208-375-8720
Hanna Castleberry, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1175 E Parkcenter Blvd, Boise, ID 83706 Phone: 208-888-5544
Dr. Errol Chandler Fife, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1675 Hill Rd, Boise, ID 83702 Phone: 208-342-3695 Fax: 208-342-4065
Dr. Robert T Peck, DMD Dentist Medicare: Medicare Enrolled Practice Location: 7480 Northview St, Boise, ID 83704 Phone: 208-322-2727 Fax: 208-375-0225
Mr. John Stanley Kriz, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7235 Emerald St, Suite B, Boise, ID 83704 Phone: 208-376-7740 Fax: 208-376-0468

Dr Jerry Michael Carbone, DMD - Medicare Dentist in Boise, ID