Dr Thomas Emery Lornson, DDS is a medicare enrolled "Dentist" provider in Black Creek, Wisconsin. His current practice location is
207 S. Main St, Black Creek, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 984-3315.
Dr Thomas Emery Lornson is licensed to practice in Wisconsin (license number 4932) 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 1396894127.
Healthcare Provider's Profile
Full Name | Dr Thomas Emery Lornson |
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Gender | Male |
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Speciality | Dentist |
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Location | 207 S. Main St, Black Creek, 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: 1396894127
- Provider Enumeration Date: 01/10/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7214982032
- Enrollment ID: I20160112001176
Medical Identifiers
Medical identifiers for Dr Thomas Emery Lornson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396894127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 4932 (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 Thomas Emery Lornson 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 Thomas Emery Lornson, DDS 207 S. Main Street, P.o.box 255, Black Creek, WI 54106-0255 Ph: (920) 984-3315 | Dr Thomas Emery Lornson, DDS 207 S. Main St, Black Creek, WI 54106-0255 Ph: (920) 984-3315 |
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