Dr Kathryn Coury Connor, DDS is a medicare enrolled "Dentist - General Practice" provider in Wales, Wisconsin. Her current practice location is
300 E Summit Ave Ste C, Wales, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 201-4718.
Dr Kathryn Coury Connor is licensed to practice in Wisconsin (license number 6798) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1760610992.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Coury Connor |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 300 E Summit Ave Ste C, Wales, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1760610992
- Provider Enumeration Date: 06/25/2009
- Last Update Date: 01/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 1355642117
- Enrollment ID: I20151221000915
Medical Identifiers
Medical identifiers for Dr Kathryn Coury Connor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760610992 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | 6028 (Louisiana) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 1223G0001X | Dentist - General Practice | 6798 (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 Kathryn Coury Connor 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 |
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Dr Kathryn Coury Connor, DDS
300 E Summit Ave Ste C,
Wales, WI 53183-9664
Ph: (262) 201-4718 | Dr Kathryn Coury Connor, DDS
300 E Summit Ave Ste C,
Wales, WI 53183-9664
Ph: (262) 201-4718 |
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