Dr Kevin Daniel Castleberry, DDS is a
Dentist - General Practice based in Green Lake, Wisconsin. Dr Kevin Daniel Castleberry is licensed to practice in Wisconsin (license number 7284-15) and his current practice location is
560 Mill St, Green Lake, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 294-6790.
NPI number for Dr Kevin Daniel Castleberry is 1366857146 and his current mailing address is 560 Mill St, Green Lake, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1366857146.
Healthcare Provider's Profile
Full Name | Dr Kevin Daniel Castleberry |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 560 Mill St, Green Lake, Wisconsin |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366857146
- Provider Enumeration Date: 06/30/2014
- Last Update Date: 05/16/2018
Medical Identifiers
Medical identifiers for Dr Kevin Daniel Castleberry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366857146 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7284-15 (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 Kevin Daniel Castleberry 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 Kevin Daniel Castleberry, DDS 560 Mill St, Green Lake, WI 54941-9527 Ph: (920) 294-6790 | Dr Kevin Daniel Castleberry, DDS 560 Mill St, Green Lake, WI 54941 Ph: (920) 294-6790 |
Reviews and Comments