Dr Theodore D Ravenel V, DMD in Charleston, SC - Medicare Dentist Provider

Dr Theodore D Ravenel V, DMD is a medicare enrolled "Dentist - Endodontics" provider in Charleston, South Carolina. His current practice location is 173 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 792-3661.

Dr Theodore D Ravenel V is licensed to practice in South Carolina (license number 3711) 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 1013070879.

Contact Information

	Dr Theodore D Ravenel V, DMD
	173 Ashley Ave, Charleston, SC 29425-5908
	(843) 792-3661
	Not Available

Healthcare Provider's Profile

Full Name	Dr Theodore D Ravenel V
Gender	Male
Speciality	Dentist - Endodontics
Location	173 Ashley Ave, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1013070879
Provider Enumeration Date: 12/19/2006
Last Update Date: 03/17/2018

Medicare PECOS Information:

PECOS PAC ID: 6507170735
Enrollment ID: I20150731017256

Medical Identifiers

Medical identifiers for Dr Theodore D Ravenel V such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013070879	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223E0200X	Dentist - Endodontics	3711 (South Carolina)	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 Theodore D Ravenel V 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 Theodore D Ravenel V, DMD 1130 E Butler Rd, Greenville, SC 29607-5908 Ph: (864) 987-7030	Dr Theodore D Ravenel V, DMD 173 Ashley Ave, Charleston, SC 29425-5908 Ph: (843) 792-3661

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Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 92 Courtenay Dr, Charleston, SC 29403 Phone: 843-577-6112 Fax: 843-937-0200
Adam M Clark, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407 Phone: 843-769-0488 Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425 Phone: 843-792-1904 Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Bee Street, Charleston, SC 29425 Phone: 734-489-2834
Dr. James Elliott Gregory Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1812 Wallace School Rd, Charleston, SC 29407 Phone: 843-571-4411
Dr. Robert Louis Morrow Sr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18 A Leinbach Dr., Charleston, SC 29407 Phone: 843-795-3339

Dr Theodore D Ravenel V, DMD - Medicare Dentist in Charleston, SC