Dr Charles William Rasmussen, DDS is a
Dentist - General Practice based in Glenwood City, Wisconsin. Dr Charles William Rasmussen is licensed to practice in Wisconsin (license number 5001061-015) and his current practice location is
104 E. Oak St., Glenwood City, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 265-4258.
NPI number for Dr Charles William Rasmussen is 1578644761 and his current mailing address is Po Box 39, Glenwood City, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578644761.
Healthcare Provider's Profile
| Full Name | Dr Charles William Rasmussen |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 104 E. Oak St., Glenwood City, 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: 1578644761
- Provider Enumeration Date: 10/17/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Charles William Rasmussen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578644761 | NPI | - | NPPES |
| 33546300 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5001061-015 (Wisconsin) | Primary |
| 1223G0001X | Dentist - General Practice | D7780 (Minnesota) | Secondary |
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 Charles William Rasmussen 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 Charles William Rasmussen, DDS
Po Box 39,
Glenwood City, WI 54013-0039
Ph: (715) 565-4325 | Dr Charles William Rasmussen, DDS
104 E. Oak St.,
Glenwood City, WI 54013-0039
Ph: (715) 265-4258 |
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