Dr Curtis Richard Herzog, DDS is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Ann Arbor, Michigan. His current practice location is
1500 E Medical Center Drive, C213 Medinn, Spc 5831, Ann Arbor, Michigan. You can reach out to his office (for appointments etc.) via phone at
(734) 936-5950.
Dr Curtis Richard Herzog is licensed to practice in Michigan (license number 2901600466) 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 1568085264.
Healthcare Provider's Profile
Full Name | Dr Curtis Richard Herzog |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1500 E Medical Center Drive, Ann Arbor, Michigan |
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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: 1568085264
- Provider Enumeration Date: 05/28/2020
- Last Update Date: 04/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 7911394564
- Enrollment ID: I20220428001544
Medical Identifiers
Medical identifiers for Dr Curtis Richard Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568085264 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901600466 (Michigan) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2901600466 (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 Curtis Richard Herzog 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 |
Dr Curtis Richard Herzog, DDS 1500 E Medical Center Drive, C213 Medinn, Spc 5831, Ann Arbor, MI 48109-5831 Ph: (734) 936-5950 | Dr Curtis Richard Herzog, DDS 1500 E Medical Center Drive, C213 Medinn, Spc 5831, Ann Arbor, MI 48109-5831 Ph: (734) 936-5950 |
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