Maxwell Theodore Dismuke, DDS - Medicare Dentist in Redway, CA

Maxwell Theodore Dismuke, DDS is a medicare enrolled "Dentist" provider in Redway, California. He graduated from medical school in 2025 and has 1 years of diverse experience with area of expertise as Dentist. His current practice location is 101 West Coast Rd, Redway, California. You can reach out to his office (for appointments etc.) via phone at (707) 923-2783.

Maxwell Theodore Dismuke is licensed to practice in California (license number 112497) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1235098005.

Contact Information

Maxwell Theodore Dismuke, DDS
101 West Coast Rd,
Redway, CA 95560
(707) 923-2783
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMaxwell Theodore Dismuke
GenderMale
SpecialityDentist
Experience1 Years
Location101 West Coast Rd, Redway, California
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Maxwell Theodore Dismuke graduated from medical school in 2025
  NPI Data:
  • NPI Number: 1235098005
  • Provider Enumeration Date: 01/19/2026
  • Last Update Date: 04/21/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 7517435142
  • Enrollment ID: I20260501002118

Medical Identifiers

Medical identifiers for Maxwell Theodore Dismuke such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235098005NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 112497 (California)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. Maxwell Theodore Dismuke 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 AddressPractice Location Address
Maxwell Theodore Dismuke, DDS
Po Box 769,
Redway, CA 95560-0769

Ph: (707) 923-2783
Maxwell Theodore Dismuke, DDS
101 West Coast Rd,
Redway, CA 95560

Ph: (707) 923-2783

Reviews and Comments


Dentist in Redway, CA

Dr. Blake Jerome Olson, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 101 Westcoast Rd., Redway, CA 95560
Phone: 707-923-4313    Fax: 707-923-2590
Renettra Angele Morris, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 101 West Coast Rd. #a, Redway, CA 95560
Phone: 707-923-4313    
Dr. Steve A Norton, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 76 Briceland Rd, Redway, CA 95560
Phone: 707-923-9060    Fax: 707-923-9660
Dr. Lorraine Prisbrey, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 101 West Coast Rd., Redway, CA 95560
Phone: 707-923-4313    Fax: 707-923-2590
Dr. Judy Hulbert-anderson, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 101 West Coast Rd., Redway, CA 95560
Phone: 707-923-4313    Fax: 707-923-2590
Dr. Matthew R Winkle, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 101 West Coast Road, Redwoods Rural Health Center, Redway, CA 95560
Phone: 707-923-2783    Fax: 707-923-1688

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.