Dr Phillip Crum, DDS is a
Dentist - Periodontics based in Bellevue, Wisconsin. Dr Phillip Crum is licensed to practice in Wisconsin (license number 1002021-15) and his current practice location is
2581 Development Dr Ste 204, Bellevue, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 347-2640.
NPI number for Dr Phillip Crum is 1235683830 and his current mailing address is 2581 Development Dr Ste 204, Bellevue, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1235683830.
Healthcare Provider's Profile
Full Name | Dr Phillip Crum |
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Gender | Male |
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Speciality | Dentist - Periodontics |
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Location | 2581 Development Dr Ste 204, Bellevue, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235683830
- Provider Enumeration Date: 08/11/2016
- Last Update Date: 01/07/2020
Medical Identifiers
Medical identifiers for Dr Phillip Crum such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235683830 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0300X | Dentist - Periodontics | 1002021-15 (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 Phillip Crum 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 Phillip Crum, DDS 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 Ph: (920) 347-2640 | Dr Phillip Crum, DDS 2581 Development Dr Ste 204, Bellevue, WI 54311-4248 Ph: (920) 347-2640 |
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