Dr Edward Rezso Gracza, DDS is a medicare enrolled "Dentist" provider in Karlstad, Minnesota. His current practice location is
223 S Main, Karlstad, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 436-2946.
Dr Edward Rezso Gracza is licensed to practice in Minnesota (license number D10309) 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 1417000779.
Healthcare Provider's Profile
| Full Name | Dr Edward Rezso Gracza |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 223 S Main, Karlstad, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1417000779
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204126691
- Enrollment ID: I20160525002885
Medical Identifiers
Medical identifiers for Dr Edward Rezso Gracza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417000779 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | D10309 (Minnesota) | 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 Edward Rezso Gracza 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 Edward Rezso Gracza, DDS
Po Box 223, 223 S Main,
Karlstad, MN 56732-0223
Ph: (218) 436-2946 | Dr Edward Rezso Gracza, DDS
223 S Main,
Karlstad, MN 56732-0223
Ph: (218) 436-2946 |
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