Dr Dave John Litzow, DDS in Fond Du Lac, WI

Dr Dave John Litzow, DDS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Fond Du Lac, Wisconsin. His current practice location is 545 E. Johnson St, Fond Du Lac, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 924-9090.

Dr Dave John Litzow is licensed to practice in Wisconsin (license number 5000183-015) 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 1457388084.

Contact Information

	Dr Dave John Litzow, DDS
	545 E. Johnson St, Fond Du Lac, WI 54935
	(920) 924-9090
	(920) 921-0800

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dave John Litzow
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	545 E. Johnson St, Fond Du Lac, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457388084
Provider Enumeration Date: 06/27/2006
Last Update Date: 05/08/2017

Medicare PECOS Information:

PECOS PAC ID: 7012297187
Enrollment ID: I20161207000177

Medical Identifiers

Medical identifiers for Dr Dave John Litzow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457388084	NPI	-	NPPES
33658400	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	5000183-015 (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 Dave John Litzow 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 Dave John Litzow, DDS 545 E Johnson St, Fond Du Lac, WI 54935 Ph: (920) 924-9090	Dr Dave John Litzow, DDS 545 E. Johnson St, Fond Du Lac, WI 54935 Ph: (920) 924-9090

Reviews and Comments

Dentist in Fond Du Lac, WI

Dr. John S Phillips, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 535 E Division St, Fond Du Lac, WI 54935 Phone: 920-921-8950 Fax: 920-921-0577
Dr. Michael Dean Cunningham, DDS Dentist Medicare: Medicare Enrolled Practice Location: 545 E Johnson St, Fond Du Lac, WI 54935 Phone: 920-924-9090
Matthew French, DDS Dentist Medicare: Medicare Enrolled Practice Location: 545 E. Johnson St, Fond Du Lac, WI 54935 Phone: 920-924-9090
Dr. Richard Sterling Harris, DMD Dentist Medicare: Medicare Enrolled Practice Location: 545 E Johnson St, Fond Du Lac, WI 54935 Phone: 920-924-9090 Fax: 920-921-0800
Ted Hwang, Dentist Medicare: Not Enrolled in Medicare Practice Location: 545 E Johnson St, Fond Du Lac, WI 54935 Phone: 920-924-9090
Dr. Hauwa Abubakar Ehimeakhe, DDS Dentist Medicare: Medicare Enrolled Practice Location: 545 E Johnson St, Fond Du Lac, WI 54935 Phone: 920-924-9090
Roger L Zimmerman, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 464 S Hickory St, Fond Du Lac, WI 54935 Phone: 920-923-0111 Fax: 920-923-0366

Dr Dave John Litzow, DDS - Medicare Dentist in Fond Du Lac, WI