Dr Mitch Driscoll, DMD in Aberdeen, ID - Medicare Dentist Provider

Dr Mitch Driscoll, DMD is a medicare enrolled "Dentist" provider in Aberdeen, Idaho. His current practice location is 81 W Washington Ave, Aberdeen, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 397-4198.

Dr Mitch Driscoll is licensed to practice in Idaho (license number D4644) 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 1790190692.

Contact Information

	Dr Mitch Driscoll, DMD
	81 W Washington Ave, Aberdeen, ID 83210-4801
	(208) 397-4198
	(208) 397-5606

Healthcare Provider's Profile

Full Name	Dr Mitch Driscoll
Gender	Male
Speciality	Dentist
Location	81 W Washington Ave, Aberdeen, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1790190692
Provider Enumeration Date: 06/30/2014
Last Update Date: 01/25/2017

Medicare PECOS Information:

PECOS PAC ID: 3476898263
Enrollment ID: I20181226000757

Medical Identifiers

Medical identifiers for Dr Mitch Driscoll such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1790190692	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	D4644 (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 Mitch Driscoll 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 Mitch Driscoll, DMD 81 W Washington Ave, Po Box 837, Aberdeen, ID 83210-4801 Ph: (208) 397-4198	Dr Mitch Driscoll, DMD 81 W Washington Ave, Aberdeen, ID 83210-4801 Ph: (208) 397-4198

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Dentist in Aberdeen, ID

Dr. Brent Tracy Schvaneveldt, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 81 West Washington, Aberdeen, ID 83210
Phone: 208-397-4419 Fax: 208-397-5606

Dr Mitch Driscoll, DMD - Medicare Dentist in Aberdeen, ID