Dr Kenneth W Parks, DDS in Lake Charles, LA - Medicare Dentist Provider

Dr Kenneth W Parks, DDS is a medicare enrolled "Dentist - Endodontics" provider in Lake Charles, Louisiana. His current practice location is 636 West Mcneese St, Lake Charles, Louisiana. You can reach out to his office (for appointments etc.) via phone at (337) 477-6124.

Dr Kenneth W Parks is licensed to practice in Louisiana (license number 3873) 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 1043326390.

Contact Information

	Dr Kenneth W Parks, DDS
	636 West Mcneese St, Lake Charles, LA 70605
	(337) 477-6124
	(337) 477-6885

Healthcare Provider's Profile

Full Name	Dr Kenneth W Parks
Gender	Male
Speciality	Dentist - Endodontics
Location	636 West Mcneese St, Lake Charles, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043326390
Provider Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2365747235
Enrollment ID: I20160302000266

Medical Identifiers

Medical identifiers for Dr Kenneth W Parks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043326390	NPI	-	NPPES
1838730	Medicaid	LA
G1204	Other		BLUE CROSS OF LA
807933	Other		UNITED CONCORDIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	3873 (Louisiana)	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 Kenneth W Parks 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 Kenneth W Parks, DDS 636 West Mcneese St, Lake Charles, LA 70605 Ph: (337) 477-6124	Dr Kenneth W Parks, DDS 636 West Mcneese St, Lake Charles, LA 70605 Ph: (337) 477-6124

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Dentist in Lake Charles, LA

Dr. John Ferrell Moffett Jr., DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1509 W Mcneese St, Lake Charles, LA 70605 Phone: 337-479-0300 Fax: 337-477-5777
Dr. Ronald Michael Short, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1702 Oak Park Blvd, Lake Charles, LA 70601 Phone: 337-310-1800 Fax: 337-310-1143
Dr. Philip D Moses, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 631 W College St, Lake Charles, LA 70605 Phone: 337-474-9057 Fax: 337-474-9444
Dr. Peter J. Dorsey, D. D. S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3447 5th Ave, Lake Charles, LA 70607 Phone: 337-478-2014 Fax: 337-480-1846
Dr. Blake Everett Price, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3451 Nelson Rd, Lake Charles, LA 70605 Phone: 337-479-2273 Fax: 337-478-2212
Leonard C Breda Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 903 Mill St, Lake Charles, LA 70601 Phone: 337-433-5545 Fax: 337-433-5527

Dr Kenneth W Parks, DDS - Medicare Dentist in Lake Charles, LA