Dr Dwight David Heberer, DMD is a
Durable Medical Equipment & Medical Supplies - Customized Equipment based in Waterloo, Illinois. Dr Dwight David Heberer is licensed to practice in Illinois (license number 019020320) and his current practice location is
226 Westview Plaza Dr., Waterloo, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 939-4042.
NPI number for Dr Dwight David Heberer is 1083786909 and his current mailing address is 16 Bass Ln, Belleville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083786909.
Healthcare Provider's Profile
Full Name | Dr Dwight David Heberer |
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Gender | Male |
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Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
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Location | 226 Westview Plaza Dr., Waterloo, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083786909
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 11/21/2017
Medical Identifiers
Medical identifiers for Dr Dwight David Heberer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083786909 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019020320 (Illinois) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | 019020320 (Illinois) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 019020320 (Illinois) | 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 Dwight David Heberer 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 Dwight David Heberer, DMD 16 Bass Ln, Belleville, IL 62223-7626 Ph: (618) 476-7038 | Dr Dwight David Heberer, DMD 226 Westview Plaza Dr., Waterloo, IL 62298-2123 Ph: (618) 939-4042 |
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