Dr Keith Clarence Winternheimer, DDS is a
Dentist based in Grayville, Illinois. Dr Keith Clarence Winternheimer is licensed to practice in Illinois (license number 019024049) and his current practice location is
610 North Court, Grayville, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 375-6341.
NPI number for Dr Keith Clarence Winternheimer is 1700221074 and his current mailing address is 610 North Court, Grayville, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700221074.
Healthcare Provider's Profile
Full Name | Dr Keith Clarence Winternheimer |
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Gender | Male |
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Speciality | Dentist |
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Location | 610 North Court, Grayville, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700221074
- Provider Enumeration Date: 05/01/2013
- Last Update Date: 05/01/2013
Medical Identifiers
Medical identifiers for Dr Keith Clarence Winternheimer such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700221074 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 019024049 (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 Keith Clarence Winternheimer 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 Keith Clarence Winternheimer, DDS 610 North Court, Grayville, IL 62844-1002 Ph: (618) 375-6341 | Dr Keith Clarence Winternheimer, DDS 610 North Court, Grayville, IL 62844-1002 Ph: (618) 375-6341 |
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