Dr Ronald Lewis Proctor, DDS in Carrollton, TX - Medicare General Practice

Dr Ronald Lewis Proctor, DDS is a medicare enrolled "General Practice" physician in Carrollton, Texas. His current practice location is 3740 N Josey Ln, Ste 121, Carrollton, Texas. You can reach out to his office (for appointments etc.) via phone at (972) 492-2866.

Dr Ronald Lewis Proctor is licensed to practice in Texas (license number 10344) 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 1881691459.

Contact Information

	Dr Ronald Lewis Proctor, DDS
	3740 N Josey Ln, Ste 121, Carrollton, TX 75007-2471
	(972) 492-2866
	(972) 394-0583

Physician's Profile

Full Name	Dr Ronald Lewis Proctor
Gender	Male
Speciality	General Practice
Location	3740 N Josey Ln, Carrollton, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881691459
Provider Enumeration Date: 06/28/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1355637745
Enrollment ID: I20160912000998

Medical Identifiers

Medical identifiers for Dr Ronald Lewis Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881691459	NPI	-	NPPES
CM76	Other	TX	BCBS
742084	Other		UNITED CONCORDIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208D00000X	General Practice	10344 (Texas)	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 Ronald Lewis Proctor 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 Ronald Lewis Proctor, DDS 3740 N Josey Ln, Ste 121, Carrollton, TX 75007-2471 Ph: (972) 492-2866	Dr Ronald Lewis Proctor, DDS 3740 N Josey Ln, Ste 121, Carrollton, TX 75007-2471 Ph: (972) 492-2866

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Dr Ronald Lewis Proctor, DDS - Medicare General Practice in Carrollton, TX