Dr Andres Wilson Setaputri, DDS - Medicare Dentist in Southgate, MI

Dr Andres Wilson Setaputri, DDS is a medicare enrolled "Dentist - General Practice" provider in Southgate, Michigan. His current practice location is 16060 Holz Dr Unit 77, Southgate, Michigan. You can reach out to his office (for appointments etc.) via phone at (734) 250-1473.

Dr Andres Wilson Setaputri is licensed to practice in Michigan (license number 2901021307) 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 1710393095.

Contact Information

Dr Andres Wilson Setaputri, DDS
16060 Holz Dr Unit 77,
Southgate, MI 48195-2991
(734) 250-1473
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Andres Wilson Setaputri
GenderMale
SpecialityDentist - General Practice
Location16060 Holz Dr Unit 77, Southgate, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710393095
  • Provider Enumeration Date: 07/07/2014
  • Last Update Date: 07/07/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 3870897572
  • Enrollment ID: I20160201000406

Medical Identifiers

Medical identifiers for Dr Andres Wilson Setaputri such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710393095NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 2901021307 (Michigan)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. Dr Andres Wilson Setaputri 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
Dr Andres Wilson Setaputri, DDS
16060 Holz Dr Unit 77,
Southgate, MI 48195-2991

Ph: (734) 250-1473
Dr Andres Wilson Setaputri, DDS
16060 Holz Dr Unit 77,
Southgate, MI 48195-2991

Ph: (734) 250-1473

Reviews and Comments


Dentist in Southgate, MI

David Sorial, DDS
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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).

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