Dr Debora Ann Herrick, DDS is a
Dentist - General Practice based in North Lake, Wisconsin. Dr Debora Ann Herrick is licensed to practice in Wisconsin (license number 003206) and her current practice location is
W315 N7641 Hywy 83 Po87, North Lake, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(262) 966-7668.
NPI number for Dr Debora Ann Herrick is 1336360973 and her current mailing address is W315 N7641 Hywy 83, Hartland, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1336360973.
Healthcare Provider's Profile
Full Name | Dr Debora Ann Herrick |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | W315 N7641 Hywy 83 Po87, North Lake, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1336360973
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Debora Ann Herrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1336360973 | NPI | - | NPPES |
33800000 | Other | WI | BADGERCARE |
33800000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 003206 (Wisconsin) | Primary |
1223G0001X | Dentist - General Practice | 6466 (Arizona) | Secondary |
1223G0001X | Dentist - General Practice | 1168 (Alaska) | 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 Debora Ann Herrick 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 Debora Ann Herrick, DDS W315 N7641 Hywy 83, Hartland, WI 53029 Ph: (262) 966-7668 | Dr Debora Ann Herrick, DDS W315 N7641 Hywy 83 Po87, North Lake, WI 53064-0087 Ph: (262) 966-7668 |
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