Dr Eric D Iwen, DDS in Superior, WI - Medicare Dentist Provider

Dr Eric D Iwen, DDS is a medicare enrolled "Dentist - General Practice" provider in Superior, Wisconsin. His current practice location is 3600 Tower Ave, Superior, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 394-5411.

Dr Eric D Iwen is licensed to practice in Wisconsin (license number 6425-015) 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 1871723593.

Contact Information

	Dr Eric D Iwen, DDS
	3600 Tower Ave, Superior, WI 54880-5589
	(715) 394-5411
	(715) 392-5086

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Eric D Iwen
Gender	Male
Speciality	Dentist - General Practice
Location	3600 Tower Ave, Superior, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871723593
Provider Enumeration Date: 07/15/2009
Last Update Date: 09/24/2020

Medicare PECOS Information:

PECOS PAC ID: 2264832724
Enrollment ID: I20210621002461

Medical Identifiers

Medical identifiers for Dr Eric D Iwen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871723593	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	GD42 (Minnesota)	Secondary
1223G0001X	Dentist - General Practice	6425-015 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Eric D Iwen allows following entities to bill medicare on his behalf.

Entity Name	Lake Superior Dental Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871672584 PECOS PAC ID: 0345649554 Enrollment ID: O20210520000645

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 Eric D Iwen 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 Eric D Iwen, DDS 1500 N 34th St Ste 200, Superior, WI 54880-4477 Ph: (715) 395-5380	Dr Eric D Iwen, DDS 3600 Tower Ave, Superior, WI 54880-5589 Ph: (715) 394-5411

Reviews and Comments

Dentist in Superior, WI

Dr. Jon Gregorie Nelson, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 418 23rd Ave E, Superior, WI 54880 Phone: 715-398-3239 Fax: 715-398-5799
Thomas A Linstroth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Tower Ave, Superior, WI 54880 Phone: 715-394-5411
Dr. Arthur David Zehm, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1507 Tower Ave, Ste 409, Superior, WI 54880 Phone: 715-392-3499
Dr. Mitchell Lee Tschakert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-394-5411 Fax: 715-392-5086
Dr. Kevin M Mikel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Tower Avenue, Superior, WI 54880 Phone: 715-392-1132 Fax: 715-392-2333
Dr. John E Conkright, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 823 Belknap St, Suite 220, Superior, WI 54880 Phone: 715-392-4545 Fax: 715-392-4547
Dr. Mark D Callaway, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6401 Tower Ave, Superior, WI 54880 Phone: 715-392-1529

Dr Eric D Iwen, DDS - Medicare Dentist in Superior, WI