Everett Brokaw, DMD is a
Dentist based in Knoxville, Illinois. Everett Brokaw is licensed to practice in Illinois (license number 019034759) and his current practice location is
228 E Main St, Knoxville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(999) 999-9999.
NPI number for Everett Brokaw is 1205366242 and his current mailing address is 228 E Main St, Knoxville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205366242.
Healthcare Provider's Profile
| Full Name | Everett Brokaw |
|---|
| Gender | Male |
|---|
| Speciality | Dentist |
|---|
| Location | 228 E Main St, Knoxville, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205366242
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 01/13/2026
Medical Identifiers
Medical identifiers for Everett Brokaw such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205366242 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 019034759 (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. Everett Brokaw is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Everett Brokaw, DMD 228 E Main St, Knoxville, IL 61448-1351 Ph: () - | Everett Brokaw, DMD 228 E Main St, Knoxville, IL 61448-1351 Ph: (999) 999-9999 |
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