Dr William J Baxa, is a medicare enrolled "Dentist - General Practice" provider in Independence, Wisconsin. His current practice location is
35791 Osseo Rd, Independence, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(715) 985-3316.
Dr William J Baxa is licensed to practice in Wisconsin (license number 0003045) 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 1770695892.
Healthcare Provider's Profile
Full Name | Dr William J Baxa |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 35791 Osseo Rd, Independence, 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: 1770695892
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800114737
- Enrollment ID: I20150406000760
Medical Identifiers
Medical identifiers for Dr William J Baxa such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770695892 | NPI | - | NPPES |
76-993 | Other | WI | WPS |
33445800 | Medicaid | WI | |
391597408010 | Other | WI | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 0003045 (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 William J Baxa 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 William J Baxa, 35791 Osseo Rd, Po Box 550, Independence, WI 54747-9096 Ph: (715) 985-3316 | Dr William J Baxa, 35791 Osseo Rd, Independence, WI 54747-9096 Ph: (715) 985-3316 |
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