Dr Robert Harris Range, DDS in Apo, AA - Medicare Dentist Provider

Dr Robert Harris Range, DDS is a medicare enrolled "Dentist" provider in Apo, Armed Forces Americas. His current practice location is Us Army Fort Drum Stone Dental Clinic, 10590 Enduring Freedom Drive, Apo, Armed Forces Americas. You can reach out to his office (for appointments etc.) via phone at (315) 772-5576.

Dr Robert Harris Range is licensed to practice in New York (license number 059481) 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 1144585605.

Contact Information

	Dr Robert Harris Range, DDS
	Us Army Fort Drum Stone Dental Clinic, 10590 Enduring Freedom Drive, Apo, AA 13602
	(315) 772-5576
	Not Available

Healthcare Provider's Profile

Full Name	Dr Robert Harris Range
Gender	Male
Speciality	Dentist
Location	Us Army Fort Drum Stone Dental Clinic, Apo, Armed Forces Americas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144585605
Provider Enumeration Date: 07/11/2012
Last Update Date: 07/13/2022

Medicare PECOS Information:

PECOS PAC ID: 9537422118
Enrollment ID: I20180412001271

Medical Identifiers

Medical identifiers for Dr Robert Harris Range such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144585605	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	62737 (California)	Secondary
122300000X	Dentist	059481 (New York)	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 Robert Harris Range 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 Robert Harris Range, DDS Us Army Fort Drum Stone Dental Clinic, 10590 Enduring Freedom Drive, Apo, AA 13602 Ph: (315) 772-5576	Dr Robert Harris Range, DDS Us Army Fort Drum Stone Dental Clinic, 10590 Enduring Freedom Drive, Apo, AA 13602 Ph: (315) 772-5576

Dentist in Apo, AA

True Xiong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Zachary & Elizabeth Fisher Medical & Dental Clinic, 2470 Sampson Street, Apo, AA 60088 Phone: 847-688-3331
Dr. Jacob Steven Blackhurst, DDS Dentist Medicare: Medicare Enrolled Practice Location: Bldg 4-1838 Normandy Dr, Apo, AA 28307 Phone: 910-432-6190
Dr. Tad Christian Tholstrom, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 48 Mdg, Unit 5115, Apo, AA 09461 Phone: 441-480-824585
Dr. Sara Kingston, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: Offutt Afb 55th Dental Squadron, 2501 Capehart Road, Apo, AA 68113 Phone: 402-232-2273
Christina Belousov, DDS, MBS Dentist Medicare: Not Enrolled in Medicare Practice Location: 14351 Battalion Ave, Apo, AA 76544 Phone: 254-288-7848
Samuel Jun Lee, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 21227 Torch St, Apo, AA 79918 Phone: 915-742-4248

Dr Robert Harris Range, DDS - Medicare Dentist in Apo, AA