Dr Roger Carl Worthington, DMD is a medicare enrolled "Dentist - General Practice" provider in Jackson, Kentucky. His current practice location is
1484 Lakeside Drive, Dental Suite, Jackson, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 666-9950.
Dr Roger Carl Worthington is licensed to practice in Kentucky (license number 5515) 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 1417942913.
Healthcare Provider's Profile
| Full Name | Dr Roger Carl Worthington |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 1484 Lakeside Drive, Jackson, Kentucky |
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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: 1417942913
- Provider Enumeration Date: 09/12/2005
- Last Update Date: 05/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 1759694300
- Enrollment ID: I20150724012009
Medical Identifiers
Medical identifiers for Dr Roger Carl Worthington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417942913 | NPI | - | NPPES |
| 1669988 | Other | | UCCI |
| 7100437870 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 5515 (Kentucky) | 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 Roger Carl Worthington 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 Roger Carl Worthington, DMD Po Box 690, Beattyville, KY 41311-0690 Ph: (066) 464-0151 | Dr Roger Carl Worthington, DMD 1484 Lakeside Drive, Dental Suite, Jackson, KY 41339 Ph: (606) 666-9950 |
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