Dr Bruce A Beversdorf, DDS is a
Dentist based in Wittenberg, Wisconsin. Dr Bruce A Beversdorf is licensed to practice in Wisconsin (license number 5002135) and his current practice location is
200 S Cherry St, Wittenberg, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 253-2694.
NPI number for Dr Bruce A Beversdorf is 1770754921 and his current mailing address is Po Box H, Wittenberg, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1770754921.
Healthcare Provider's Profile
| Full Name | Dr Bruce A Beversdorf |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 200 S Cherry St, Wittenberg, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1770754921
- Provider Enumeration Date: 03/17/2008
- Last Update Date: 03/17/2008
Medical Identifiers
Medical identifiers for Dr Bruce A Beversdorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770754921 | NPI | - | NPPES |
| 33378100 | Other | WI | BADGERCARE MA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 5002135 (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. Dr Bruce A Beversdorf 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 |
|---|
Dr Bruce A Beversdorf, DDS
Po Box H,
Wittenberg, WI 54499
Ph: (715) 253-2694 | Dr Bruce A Beversdorf, DDS
200 S Cherry St,
Wittenberg, WI 54499
Ph: (715) 253-2694 |
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