Dr Desiree Michele Mork, DDS is a
Dentist - General Practice based in Cochrane, Wisconsin. Dr Desiree Michele Mork is licensed to practice in Wisconsin (license number 5882-015) and her current practice location is
241 N. Main Street, Cochrane, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(608) 248-2442.
NPI number for Dr Desiree Michele Mork is 1508083528 and her current mailing address is P.o. Box 118, 241 N. Main Street, Cochrane, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508083528.
Healthcare Provider's Profile
| Full Name | Dr Desiree Michele Mork |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 241 N. Main Street, Cochrane, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1508083528
- Provider Enumeration Date: 04/19/2007
- Last Update Date: 12/29/2011
Medical Identifiers
Medical identifiers for Dr Desiree Michele Mork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1508083528 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5882-015 (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 Desiree Michele Mork 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 Desiree Michele Mork, DDS
P.o. Box 118, 241 N. Main Street,
Cochrane, WI 54622
Ph: (608) 248-2442 | Dr Desiree Michele Mork, DDS
241 N. Main Street,
Cochrane, WI 54622
Ph: (608) 248-2442 |
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