Dr Thomas H Gietman, DDS is a medicare enrolled "Dentist - General Practice" provider in Mt Calvary, Wisconsin. His current practice location is
100 Hwy W, Mt Calvary, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(920) 753-2771.
Dr Thomas H Gietman is licensed to practice in Wisconsin (license number WI3481) 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 1578519914.
Healthcare Provider's Profile
Full Name | Dr Thomas H Gietman |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 100 Hwy W, Mt Calvary, 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: 1578519914
- Provider Enumeration Date: 05/26/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799097051
- Enrollment ID: I20150630001191
Medical Identifiers
Medical identifiers for Dr Thomas H Gietman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578519914 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | WI3481 (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 H Gietman 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 H Gietman, DDS 100 Hwy W, Mt Calvary, WI 53057 Ph: (920) 753-2771 | Dr Thomas H Gietman, DDS 100 Hwy W, Mt Calvary, WI 53057 Ph: (920) 753-2771 |
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