Dr Evelyn Katrina Hauser-frederick, DDS is a
Dentist based in Gillett, Wisconsin. Dr Evelyn Katrina Hauser-frederick is licensed to practice in Wisconsin (license number 5002024-015) and her current practice location is
137 E Main St, Gillett, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 855-2155.
NPI number for Dr Evelyn Katrina Hauser-frederick is 1639583610 and her current mailing address is Po Box 266, 137 E Main St., Gillett, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639583610.
Healthcare Provider's Profile
| Full Name | Dr Evelyn Katrina Hauser-frederick |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
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| Location | 137 E Main St, Gillett, 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: 1639583610
- Provider Enumeration Date: 06/17/2014
- Last Update Date: 06/17/2014
Medical Identifiers
Medical identifiers for Dr Evelyn Katrina Hauser-frederick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639583610 | NPI | - | NPPES |
| 5002024-015 | Other | WI | STATE DENTAL LICENSE |
| 33374500 | Medicaid | WI | |
| 1356554851 | Other | | NPI TYPE II |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 5002024-015 (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 Evelyn Katrina Hauser-frederick 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 Evelyn Katrina Hauser-frederick, DDS
Po Box 266, 137 E Main St.,
Gillett, WI 54124-0266
Ph: (920) 855-2155 | Dr Evelyn Katrina Hauser-frederick, DDS
137 E Main St,
Gillett, WI 54124-9386
Ph: (920) 855-2155 |
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