Dr Ronald Edward Wallach, DMD is a medicare enrolled "Dentist - General Practice" provider in Kula, Hawaii. His current practice location is
25 Ahinahina Pl, Kula, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 876-1198.
Dr Ronald Edward Wallach is licensed to practice in Hawaii (license number DT-1887) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588753834.
Healthcare Provider's Profile
Full Name | Dr Ronald Edward Wallach |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 25 Ahinahina Pl, Kula, Hawaii |
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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: 1588753834
- Provider Enumeration Date: 10/12/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9537450408
- Enrollment ID: I20160623001383
Medical Identifiers
Medical identifiers for Dr Ronald Edward Wallach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588753834 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | DT-1887 (Hawaii) | 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 Ronald Edward Wallach 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 Ronald Edward Wallach, DMD 25 Ahinahina Pl, Kula, HI 96790-7702 Ph: (808) 876-1198 | Dr Ronald Edward Wallach, DMD 25 Ahinahina Pl, Kula, HI 96790-7702 Ph: (808) 876-1198 |
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