Carolyn Beth Custer, LAC is a
Acupuncturist based in Jefferson, Wisconsin. Carolyn Beth Custer is licensed to practice in Wisconsin (license number 636-55) and her current practice location is
112 S Main St Ste 2a, Jefferson, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 674-6707.
NPI number for Carolyn Beth Custer is 1679872576 and her current mailing address is 112 S Main St Ste 2a, Jefferson, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679872576.
Healthcare Provider's Profile
Full Name | Carolyn Beth Custer |
---|
Gender | Female |
---|
Speciality | Acupuncturist |
---|
Location | 112 S Main St Ste 2a, Jefferson, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679872576
- Provider Enumeration Date: 03/18/2011
- Last Update Date: 03/13/2020
Medical Identifiers
Medical identifiers for Carolyn Beth Custer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679872576 | NPI | - | NPPES |
1679872576 | Other | WI | CMS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 636-55 (Wisconsin) | 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. Carolyn Beth Custer 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 |
Carolyn Beth Custer, LAC 112 S Main St Ste 2a, Jefferson, WI 53549-1657 Ph: (920) 674-6707 | Carolyn Beth Custer, LAC 112 S Main St Ste 2a, Jefferson, WI 53549-1657 Ph: (920) 674-6707 |
Reviews and Comments