Dr Keith Wilcox, DDS is a
Dentist based in Mt Vernon, Illinois. Dr Keith Wilcox is licensed to practice in Illinois (license number ) and his current practice location is
713 S 42nd St, Mt Vernon, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 244-9666.
NPI number for Dr Keith Wilcox is 1275654618 and his current mailing address is 713 S 42nd St, Mt Vernon, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1275654618.
Healthcare Provider's Profile
Full Name | Dr Keith Wilcox |
---|
Gender | Male |
---|
Speciality | Dentist |
---|
Location | 713 S 42nd St, Mt Vernon, Illinois |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275654618
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Keith Wilcox such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275654618 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | (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 Wilcox 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 Wilcox, DDS 713 S 42nd St, Mt Vernon, IL 62864 Ph: (618) 244-9666 | Dr Keith Wilcox, DDS 713 S 42nd St, Mt Vernon, IL 62864 Ph: (618) 244-9666 |
Reviews and Comments