Thomas Leroy Dexter Iii, is a medicare enrolled "Physician Assistant" in Cedar Lake, Indiana. His current practice location is
9861 Lincoln Plaza Way Unit 8, Cedar Lake, Indiana. You can reach out to his office (for appointments etc.) via phone at
(615) 915-8324.
Thomas Leroy Dexter Iii is licensed to practice in * (Not Available) (license number ) 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 1841865805.
Provider's Profile
| Full Name | Thomas Leroy Dexter Iii |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Location | 9861 Lincoln Plaza Way Unit 8, Cedar Lake, Indiana |
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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: 1841865805
- Provider Enumeration Date: 05/23/2021
- Last Update Date: 09/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698157733
- Enrollment ID: I20220805000530
Medical Identifiers
Medical identifiers for Thomas Leroy Dexter Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1841865805 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (* (Not Available)) | 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. Thomas Leroy Dexter 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 |
Thomas Leroy Dexter Iii, 1132 Theresa Dr, Schererville, IN 46375-1545 Ph: () - | Thomas Leroy Dexter Iii, 9861 Lincoln Plaza Way Unit 8, Cedar Lake, IN 46303-7301 Ph: (615) 915-8324 |
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