Dr John F Blattner, DMD is a medicare enrolled "Durable Medical Equipment & Medical Supplies - Customized Equipment" provider in Waterloo, Illinois. His current practice location is
226 Westview Plaza Dr., Waterloo, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 939-4042.
Dr John F Blattner is licensed to practice in Illinois (license number 019016532) 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 1720008329.
Healthcare Provider's Profile
Full Name | Dr John F Blattner |
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Gender | Male |
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Speciality | Durable Medical Equipment & Medical Supplies - Customized Equipment |
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Location | 226 Westview Plaza Dr., Waterloo, Illinois |
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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: 1720008329
- Provider Enumeration Date: 07/19/2006
- Last Update Date: 11/21/2017
Medicare PECOS Information:
- PECOS PAC ID: 5193041994
- Enrollment ID: I20170412000228
Medical Identifiers
Medical identifiers for Dr John F Blattner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1720008329 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 19-016532 (Illinois) | Secondary |
332B00000X | Durable Medical Equipment & Medical Supplies | 019016532 (Illinois) | Secondary |
332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | 019016532 (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 John F Blattner 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 John F Blattner, DMD 226 Westview Plaza Dr., Waterloo, IL 62298-1253 Ph: (618) 939-4042 | Dr John F Blattner, DMD 226 Westview Plaza Dr., Waterloo, IL 62298-1253 Ph: (618) 939-4042 |
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