Dr Gary Edmund Eckberg, DDS is a
Dentist - General Practice based in Wyanet, Illinois. Dr Gary Edmund Eckberg is licensed to practice in Illinois (license number 19012910) and his current practice location is
117 E Main St, Wyanet, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 699-2335.
NPI number for Dr Gary Edmund Eckberg is 1609032440 and his current mailing address is Po Box 337, Wyanet, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1609032440.
Healthcare Provider's Profile
| Full Name | Dr Gary Edmund Eckberg |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 117 E Main St, Wyanet, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1609032440
- Provider Enumeration Date: 07/31/2008
- Last Update Date: 07/31/2008
Medical Identifiers
Medical identifiers for Dr Gary Edmund Eckberg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609032440 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 19012910 (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 Gary Edmund Eckberg 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 Gary Edmund Eckberg, DDS
Po Box 337,
Wyanet, IL 61379-0337
Ph: (815) 699-2335 | Dr Gary Edmund Eckberg, DDS
117 E Main St,
Wyanet, IL 61379-4504
Ph: (815) 699-2335 |
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