Dr Marvin J Gottschall Jr, DDS is a
Dentist - General Practice based in Cusick, Washington. Dr Marvin J Gottschall Jr is licensed to practice in Washington (license number DE00009801) and his current practice location is
1821 N Leclerc Rd. #1, Cusick, Washington. He can be reached at his office (for appointments etc.) via phone at
(509) 447-7111.
NPI number for Dr Marvin J Gottschall Jr is 1871636555 and his current mailing address is 1821 N Leclerc Rd. #1, Cusick, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1871636555.
Healthcare Provider's Profile
| Full Name | Dr Marvin J Gottschall Jr |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 1821 N Leclerc Rd. #1, Cusick, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871636555
- Provider Enumeration Date: 02/14/2007
- Last Update Date: 06/03/2011
Medical Identifiers
Medical identifiers for Dr Marvin J Gottschall Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871636555 | NPI | - | NPPES |
| 0213060 | Other | WA | LABOR & INDUSTRIES ID # |
| 5051537 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | DE00009801 (Washington) | 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 Marvin J Gottschall Jr 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 Marvin J Gottschall Jr, DDS
1821 N Leclerc Rd. #1,
Cusick, WA 99119-5015
Ph: (509) 447-7111 | Dr Marvin J Gottschall Jr, DDS
1821 N Leclerc Rd. #1,
Cusick, WA 99119-5015
Ph: (509) 447-7111 |
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