Dr Rebecca Havel Prust, DDS is a
Dentist - General Practice based in Algoma, Wisconsin. Dr Rebecca Havel Prust is licensed to practice in Wisconsin (license number 5658-015) and her current practice location is
1223 Lake Street, Algoma, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 487-5648.
NPI number for Dr Rebecca Havel Prust is 1609905645 and her current mailing address is 1223 Lake Street, Algoma, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609905645.
Healthcare Provider's Profile
Full Name | Dr Rebecca Havel Prust |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 1223 Lake Street, Algoma, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609905645
- Provider Enumeration Date: 03/05/2007
- Last Update Date: 04/01/2016
Medical Identifiers
Medical identifiers for Dr Rebecca Havel Prust such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609905645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 5658-015 (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 Rebecca Havel Prust 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 Rebecca Havel Prust, DDS 1223 Lake Street, Algoma, WI 54201 Ph: (920) 469-1167 | Dr Rebecca Havel Prust, DDS 1223 Lake Street, Algoma, WI 54201 Ph: (920) 487-5648 |
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