Dr Laura Marie Goll, DDS is a medicare enrolled "Dentist" provider in Land O Lakes, Wisconsin. Her current practice location is
4453 Hgwy B, Land O Lakes, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 547-3541.
Dr Laura Marie Goll is licensed to practice in Wisconsin (license number 1000973-15) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316347131.
Healthcare Provider's Profile
Full Name | Dr Laura Marie Goll |
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Gender | Female |
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Speciality | Dentist |
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Location | 4453 Hgwy B, Land O Lakes, Wisconsin |
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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: 1316347131
- Provider Enumeration Date: 08/28/2014
- Last Update Date: 05/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 5698092187
- Enrollment ID: I20150320001905
Medical Identifiers
Medical identifiers for Dr Laura Marie Goll such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316347131 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 1000973-15 (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 Laura Marie Goll 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 Laura Marie Goll, DDS 4453 Hgwy B, Land O Lakes, WI 54540-9705 Ph: (608) 335-7109 | Dr Laura Marie Goll, DDS 4453 Hgwy B, Land O Lakes, WI 54540-9705 Ph: (715) 547-3541 |
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