Dr Martha K Basile, DDS is a medicare enrolled "Dentist" provider in Marengo, Illinois. Her current practice location is
110 E Washington St, Marengo, Illinois. You can reach out to her office (for appointments etc.) via phone at
(815) 568-1202.
Dr Martha K Basile is licensed to practice in Illinois (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053447458.
Healthcare Provider's Profile
Full Name | Dr Martha K Basile |
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Gender | Female |
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Speciality | Dentist |
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Location | 110 E Washington St, Marengo, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1053447458
- Provider Enumeration Date: 02/27/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 1850611211
- Enrollment ID: I20150526002549
Medical Identifiers
Medical identifiers for Dr Martha K Basile such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053447458 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (Illinois) | 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 Martha K Basile 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 Martha K Basile, DDS 110 E Washington St, Marengo, IL 60152-3107 Ph: (815) 568-1202 | Dr Martha K Basile, DDS 110 E Washington St, Marengo, IL 60152-3107 Ph: (815) 568-1202 |
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