Dr Keith L Staehly, DDS - Dentist in Green Bay, WI

Dr Keith L Staehly, DDS is a Dentist - General Practice based in Green Bay, Wisconsin. Dr Keith L Staehly is licensed to practice in Wisconsin (license number 5001404-015) and his current practice location is 528 S Irwin Ave, Green Bay, Wisconsin. He can be reached at his office (for appointments etc.) via phone at (920) 465-9465.

NPI number for Dr Keith L Staehly is 1295897361 and his current mailing address is 528 S Irwin Ave, Green Bay, Wisconsin. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1295897361.

Contact Information

Dr Keith L Staehly, DDS
528 S Irwin Ave,
Green Bay, WI 54301-3846
(920) 465-9465
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Keith L Staehly
GenderMale
SpecialityDentist - General Practice
Location528 S Irwin Ave, Green Bay, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295897361
  • Provider Enumeration Date: 12/15/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Keith L Staehly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295897361NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5001404-015 (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 Keith L Staehly 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 AddressPractice Location Address
Dr Keith L Staehly, DDS
528 S Irwin Ave,
Green Bay, WI 54301-3846

Ph: (920) 465-9465
Dr Keith L Staehly, DDS
528 S Irwin Ave,
Green Bay, WI 54301-3846

Ph: (920) 465-9465

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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