Clifford Carl Sprung, DDS is a medicare enrolled "Dentist - General Practice" provider in Merton, Wisconsin. His current practice location is
W28550 Sussex Rd, Merton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 538-0892.
Clifford Carl Sprung is licensed to practice in Wisconsin (license number 3018) 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 1134181399.
Healthcare Provider's Profile
Full Name | Clifford Carl Sprung |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | W28550 Sussex Rd, Merton, Wisconsin |
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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: 1134181399
- Provider Enumeration Date: 04/04/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5698064764
- Enrollment ID: I20160512000578
Medical Identifiers
Medical identifiers for Clifford Carl Sprung such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134181399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 3018 (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. Clifford Carl Sprung 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 |
Clifford Carl Sprung, DDS Po Box 3, Merton, WI 53056-0003 Ph: (262) 538-0892 | Clifford Carl Sprung, DDS W28550 Sussex Rd, Merton, WI 53056-0003 Ph: (262) 538-0892 |
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