Dr Yetunde Fasoro, DDS in Chippewa Falls, WI

Dr Yetunde Fasoro, DDS is a medicare enrolled "Dentist" provider in Chippewa Falls, Wisconsin. Her current practice location is 850 Lakeland Dr, Chippewa Falls, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (715) 738-2000.

Dr Yetunde Fasoro is licensed to practice in Wisconsin (license number 1001171-15) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1932508496.

Contact Information

	Dr Yetunde Fasoro, DDS
	850 Lakeland Dr, Chippewa Falls, WI 54729-1687
	(715) 738-2000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Yetunde Fasoro
Gender	Female
Speciality	Dentist
Location	850 Lakeland Dr, Chippewa Falls, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1932508496
Provider Enumeration Date: 08/20/2014
Last Update Date: 06/22/2023

Medicare PECOS Information:

PECOS PAC ID: 1052625167
Enrollment ID: I20150803002666

Medical Identifiers

Medical identifiers for Dr Yetunde Fasoro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1932508496	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DN014857 (Georgia)	Secondary
122300000X	Dentist	1001171-15 (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 Yetunde Fasoro 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 Yetunde Fasoro, DDS 850 Lakeland Dr, Chippewa Falls, WI 54729-1687 Ph: (715) 738-2000	Dr Yetunde Fasoro, DDS 850 Lakeland Dr, Chippewa Falls, WI 54729-1687 Ph: (715) 738-2000

Reviews and Comments

Dentist in Chippewa Falls, WI

Beth A Salonek, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 235 W Prairie View Rd, Suite 1, Chippewa Falls, WI 54729 Phone: 715-720-9125 Fax: 715-720-1475
Rupal Suresh Vasani, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2501 County Highway I, Chippewa Falls, WI 54729 Phone: 715-726-1060
Uday B Manchala, DDS Dentist Medicare: Medicare Enrolled Practice Location: 850 Lakeland Drive, Family Health Center Of Marshfield, Chippewa Falls, WI 54729 Phone: 715-738-2000
Andrea Gunderson, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2849 County Highway I, Chippewa Falls, WI 54729 Phone: 715-723-0287
Dr. Julia Kristine Machgan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 405 W Prairie View Rd, Chippewa Falls, WI 54729 Phone: 715-723-7175
Emily T. Barnes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 850 Lakeland Drive, Chippewa Falls, WI 54729 Phone: 715-738-2000
Dr. Kent Vandehaar, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 W Willow St, Chippewa Falls, WI 54729 Phone: 715-723-5688 Fax: 715-723-4039

Dr Yetunde Fasoro, DDS - Medicare Dentist in Chippewa Falls, WI