Dr Keith Alan Norwalk, DDS is a medicare enrolled "Dentist - General Practice" provider in Genoa, Ohio. His current practice location is
103 W 5th St, Genoa, Ohio. You can reach out to his office (for appointments etc.) via phone at
(419) 855-4700.
Dr Keith Alan Norwalk is licensed to practice in Ohio (license number 13729) 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 1376751347.
Healthcare Provider's Profile
Full Name | Dr Keith Alan Norwalk |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 103 W 5th St, Genoa, Ohio |
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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: 1376751347
- Provider Enumeration Date: 05/21/2007
- Last Update Date: 12/20/2012
Medicare PECOS Information:
- PECOS PAC ID: 4284953902
- Enrollment ID: I20150430002653
Medical Identifiers
Medical identifiers for Dr Keith Alan Norwalk such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376751347 | NPI | - | NPPES |
0151553 | Medicaid | OH | |
9199924 | Other | OH | DORAL |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 13729 (Ohio) | 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 Keith Alan Norwalk 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 Keith Alan Norwalk, DDS 103 W 5th St, Genoa, OH 43430-1701 Ph: (419) 855-4700 | Dr Keith Alan Norwalk, DDS 103 W 5th St, Genoa, OH 43430-1701 Ph: (419) 855-4700 |
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