Dr Hans Werner Wawrousek Jr, DDS is a medicare enrolled "Dentist - General Practice" provider in Black River, New York. His current practice location is
122 Pine Dr, Black River, New York. You can reach out to his office (for appointments etc.) via phone at
(315) 773-0573.
Dr Hans Werner Wawrousek Jr is licensed to practice in New York (license number 031625) 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 1144219197.
Healthcare Provider's Profile
Full Name | Dr Hans Werner Wawrousek Jr |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 122 Pine Dr, Black River, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144219197
- Provider Enumeration Date: 10/20/2005
- Last Update Date: 06/30/2014
Medicare PECOS Information:
- PECOS PAC ID: 8729392097
- Enrollment ID: I20150730011583
Medical Identifiers
Medical identifiers for Dr Hans Werner Wawrousek Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144219197 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 031625 (New York) | 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 Hans Werner Wawrousek Jr 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 Hans Werner Wawrousek Jr, DDS 122 Pine Dr, Black River, NY 13612-2110 Ph: () - | Dr Hans Werner Wawrousek Jr, DDS 122 Pine Dr, Black River, NY 13612-2110 Ph: (315) 773-0573 |
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