Dr Samuel D Bertholf, DDS is a
Dentist - General Practice based in Hesston, Kansas. Dr Samuel D Bertholf is licensed to practice in Kansas (license number 61875) and his current practice location is
353 N Old Us Highway 81, Hesston, Kansas. He can be reached at his office (for appointments etc.) via phone at
(620) 327-2887.
NPI number for Dr Samuel D Bertholf is 1265171664 and his current mailing address is Po Box 250, Hesston, Kansas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265171664.
Healthcare Provider's Profile
Full Name | Dr Samuel D Bertholf |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 353 N Old Us Highway 81, Hesston, Kansas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1265171664
- Provider Enumeration Date: 06/02/2022
- Last Update Date: 06/02/2022
Medical Identifiers
Medical identifiers for Dr Samuel D Bertholf such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265171664 | NPI | - | NPPES |
15567338 | Other | KS | CAQH |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 61875 (Kansas) | 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 Samuel D Bertholf 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 Samuel D Bertholf, DDS Po Box 250, Hesston, KS 67062-0250 Ph: (620) 327-2887 | Dr Samuel D Bertholf, DDS 353 N Old Us Highway 81, Hesston, KS 67062-9406 Ph: (620) 327-2887 |
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