Dr Stephen J Lasslo, DDS is a medicare enrolled "Dentist - General Practice" provider in Wrightstown, Wisconsin. His current practice location is
Wrightstown Dental 450 High St Ste 3, Wrightstown, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 532-0091.
Dr Stephen J Lasslo is licensed to practice in Wisconsin (license number 6162-015) 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 1205020732.
Healthcare Provider's Profile
Full Name | Dr Stephen J Lasslo |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | Wrightstown Dental 450 High St Ste 3, Wrightstown, Wisconsin |
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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: 1205020732
- Provider Enumeration Date: 08/28/2007
- Last Update Date: 04/22/2013
Medicare PECOS Information:
- PECOS PAC ID: 4789995465
- Enrollment ID: I20150622002315
Medical Identifiers
Medical identifiers for Dr Stephen J Lasslo such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205020732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 6162-015 (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 Stephen J Lasslo 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 Stephen J Lasslo, DDS Wrightstown Dental 450 High St Ste 3, Wrightstown, WI 54180-1253 Ph: (920) 532-0091 | Dr Stephen J Lasslo, DDS Wrightstown Dental 450 High St Ste 3, Wrightstown, WI 54180-1253 Ph: (920) 532-0091 |
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