Mr Grover Edens Rabon, DMD - Medicare Dentist in Sumter, SC

Mr Grover Edens Rabon, DMD is a medicare enrolled "Dentist - General Practice" provider in Sumter, South Carolina. His current practice location is 669b West Wesmark Blvd, Sumter, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 905-3567.

Mr Grover Edens Rabon is licensed to practice in South Carolina (license number 3460) 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 1922164706.

Contact Information

Mr Grover Edens Rabon, DMD
669b West Wesmark Blvd,
Sumter, SC 29150
(803) 905-3567
(803) 905-3507



Healthcare Provider's Profile

Full NameMr Grover Edens Rabon
GenderMale
SpecialityDentist - General Practice
Location669b West Wesmark Blvd, Sumter, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1922164706
  • Provider Enumeration Date: 12/28/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 1052535218
  • Enrollment ID: I20140610001688

Medical Identifiers

Medical identifiers for Mr Grover Edens Rabon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922164706NPI-NPPES
ZX3460MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 3460 (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. Mr Grover Edens Rabon 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
Mr Grover Edens Rabon, DMD
669b West Wesmark Blvd,
Sumter, SC 29150

Ph: (803) 905-3567
Mr Grover Edens Rabon, DMD
669b West Wesmark Blvd,
Sumter, SC 29150

Ph: (803) 905-3567

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Dentist in Sumter, SC

Dr. David M Vanpatten, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2590 Tahoe Drive, Sumter, SC 29150
Phone: 803-469-3555    Fax: 803-469-3515
Dr. Lisbeth W Poag, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Physicians Ln, Sumter, SC 29150
Phone: 803-775-4793    Fax: 803-934-9943
Dr. William Neal Coulter, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 2590 Lin Do Court, Sumter, SC 29150
Phone: 803-905-4321    Fax: 803-905-4325
Eddie C Durant Jr, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 852 W Liberty St, Sumter, SC 29150
Phone: 803-773-3328    Fax: 803-773-9601
Dr. Brian Timothy Bracken, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1121 Broad St, Sumter, SC 29150
Phone: 201-919-1950    
Dr. Richard Anthony Suarez-murias, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1121 Broad St, Sumter, SC 29150
Phone: 803-590-3040    
Dr. Marshall Lynn Wallace, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 3 Professional Ct, Sumter, SC 29150
Phone: 803-469-9461    Fax: 803-469-9023

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