Dr Tony Lee Pilgrim, DDS is a
Dentist - General Practice based in Fall Creek, Wisconsin. Dr Tony Lee Pilgrim is licensed to practice in Wisconsin (license number 003104) and his current practice location is
122 S. State St., Fall Creek, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 877-2113.
NPI number for Dr Tony Lee Pilgrim is 1861545055 and his current mailing address is 6824 Tower Dr, Eau Claire, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1861545055.
Healthcare Provider's Profile
Full Name | Dr Tony Lee Pilgrim |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 122 S. State St., Fall Creek, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1861545055
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Tony Lee Pilgrim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861545055 | NPI | - | NPPES |
33458700 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 003104 (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 Tony Lee Pilgrim 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 Tony Lee Pilgrim, DDS 6824 Tower Dr, Eau Claire, WI 54703-8773 Ph: (715) 855-1105 | Dr Tony Lee Pilgrim, DDS 122 S. State St., Fall Creek, WI 54742-0066 Ph: (715) 877-2113 |
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