Dr Thomas Robert Machak, DDS is a
Dentist - General Practice based in Omro, Wisconsin. Dr Thomas Robert Machak is licensed to practice in Wisconsin (license number 3974) and his current practice location is
123 W Main St, Omro, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 685-5893.
NPI number for Dr Thomas Robert Machak is 1790752020 and his current mailing address is 123 W Main St, Omro, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790752020.
Healthcare Provider's Profile
| Full Name | Dr Thomas Robert Machak |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
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| Location | 123 W Main St, Omro, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790752020
- Provider Enumeration Date: 03/06/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Thomas Robert Machak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790752020 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 3974 (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 Robert Machak 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 Thomas Robert Machak, DDS
123 W Main St,
Omro, WI 54963-1333
Ph: (920) 685-5893 | Dr Thomas Robert Machak, DDS
123 W Main St,
Omro, WI 54963-1333
Ph: (920) 685-5893 |
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