Dr Frank De Latour Iii, DDS in Fort Gordon, GA

Dr Frank De Latour Iii, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fort Gordon, Georgia. His current practice location is 300 East Hosptial Drive, Fort Gordon, Georgia. You can reach out to his office (for appointments etc.) via phone at (706) 787-5322.

Dr Frank De Latour Iii is licensed to practice in South Carolina (license number 10106) 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 1497164081.

Contact Information

	Dr Frank De Latour Iii, DDS
	300 East Hosptial Drive, Fort Gordon, GA 30905
	(706) 787-5322
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Frank De Latour Iii
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	300 East Hosptial Drive, Fort Gordon, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497164081
Provider Enumeration Date: 08/07/2014
Last Update Date: 01/11/2024

Medicare PECOS Information:

PECOS PAC ID: 1759766124
Enrollment ID: I20220921001542

Medical Identifiers

Medical identifiers for Dr Frank De Latour Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497164081	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0401414463 (Virginia)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	DNF000451 (Georgia)	Secondary
204E00000X	Oral & Maxillofacial Surgery	DNF000451 (Georgia)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	10106 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Frank De Latour Iii allows following entities to bill medicare on his behalf.

Entity Name	Au Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841230620 PECOS PAC ID: 9931013513 Enrollment ID: O20040107000188

Entity Name	Wellstar Medical Group, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558664003 PECOS PAC ID: 6709065402 Enrollment ID: O20110127000374

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 Frank De Latour Iii 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 Frank De Latour Iii, DDS 300 East Hospital Drive, Fort Gordon, GA 30905 Ph: () -	Dr Frank De Latour Iii, DDS 300 East Hosptial Drive, Fort Gordon, GA 30905 Ph: (706) 787-5322

Reviews and Comments

Dentist in Fort Gordon, GA

Dr. Ryan Dale Swiss, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 320 W Hospital Rd, Fort Gordon, GA 30905 Phone: 706-787-8105
Dr. Carsen Robert Mcdaniel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 33801 Academic Drive, Fort Gordon, GA 30905 Phone: 706-787-6927
Dr. Jason Scott Bullock, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 38717 38th Street, Usa Dental Activity, Fort Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082
Kyung Sang Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Tingay Dental Clinic, 320 W Hospital Road, Fort Gordon, GA 30905 Phone: 067-875-1027
Dr. Justin Phillip Galliani, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 38801 Academic Drive, Suite B & C, Fort Gordon, GA 30905 Phone: 707-694-6032
Dr. Jennifer Victoria Sabol, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Tingay Dental Clinic, 320 West Hospital Road, Fort Gordon, GA 30905 Phone: 706-787-4106
Dr. Jonathan Daniel Lane, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 38717 38th Street, Dentac Credentials Office, Fort Gordon, GA 30905 Phone: 706-787-6927 Fax: 706-787-2082

Dr Frank De Latour Iii, DDS - Medicare Dentist in Fort Gordon, GA