Dr Quinn Cooper Mikesell, DMD - Medicare Dentist in Rigby, ID

Dr Quinn Cooper Mikesell, DMD is a medicare enrolled "Dentist - General Practice" provider in Rigby, Idaho. His current practice location is 711 Rigby Lake Dr. #102, Rigby, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 745-8788.

Dr Quinn Cooper Mikesell is licensed to practice in Idaho (license number D-3876) 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 1205843018.

Contact Information

Dr Quinn Cooper Mikesell, DMD
711 Rigby Lake Dr. #102,
Rigby, ID 83442
(208) 745-8788
(208) 745-6104



Healthcare Provider's Profile

Full NameDr Quinn Cooper Mikesell
GenderMale
SpecialityDentist - General Practice
Location711 Rigby Lake Dr. #102, Rigby, Idaho
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205843018
  • Provider Enumeration Date: 08/02/2006
  • Last Update Date: 11/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 7214227842
  • Enrollment ID: I20160609001278

Medical Identifiers

Medical identifiers for Dr Quinn Cooper Mikesell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205843018NPI-NPPES
807203400MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice D-3876 (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 Quinn Cooper Mikesell 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 AddressPractice Location Address
Dr Quinn Cooper Mikesell, DMD
711 Rigby Lake Dr. #102,
Rigby, ID 83442

Ph: (208) 745-8788
Dr Quinn Cooper Mikesell, DMD
711 Rigby Lake Dr. #102,
Rigby, ID 83442

Ph: (208) 745-8788

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› Verified 5 days ago


Dentist in Rigby, ID

Dr. Richard H. George, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 527 Rigby Lake Dr, Suite B, Rigby, ID 83442
Phone: 208-745-8704    Fax: 208-745-7052
Robert Lynn Ellis, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 143 1/2 E Main, Rigby, ID 83442
Phone: 208-745-0400    Fax: 208-745-5005
Dr. Garrett Brent Burton, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 527 Rigby Lake Dr Ste B, Rigby, ID 83442
Phone: 208-745-8704    
Dr. Boone Allen, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 527 Rigby Lake Dr, Suite B, Rigby, ID 83442
Phone: 208-745-8704    Fax: 208-745-7052
Dr. Ben R Dansie, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 130 N 1st W, Rigby, ID 83442
Phone: 208-745-6591    
Dr. Mark L Peterson, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 127 1/2 E Short St, Rigby, ID 83442
Phone: 208-745-6536    Fax: 208-745-0006

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