Dr Mallory Charging, DDS is a medicare enrolled "Dentist - General Practice" provider in Wittenberg, Wisconsin. Her current practice location is
202 E Grand Ave, Wittenberg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(715) 253-3200.
Dr Mallory Charging is licensed to practice in Wisconsin (license number 1001102) 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 1215316765.
Healthcare Provider's Profile
Full Name | Dr Mallory Charging |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 202 E Grand Ave, Wittenberg, 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: 1215316765
- Provider Enumeration Date: 05/28/2015
- Last Update Date: 05/21/2019
Medicare PECOS Information:
- PECOS PAC ID: 9931407046
- Enrollment ID: I20160406000076
Medical Identifiers
Medical identifiers for Dr Mallory Charging such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215316765 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 1001102 (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 Mallory Charging 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 Mallory Charging, DDS 202 E Grand Ave, Wittenberg, WI 54499-7600 Ph: (715) 253-3200 | Dr Mallory Charging, DDS 202 E Grand Ave, Wittenberg, WI 54499-7600 Ph: (715) 253-3200 |
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