Jack L Palumbo, DDS is a
Dentist - General Practice based in Spring Valley, Wisconsin. Jack L Palumbo is licensed to practice in Illinois (license number 5001275) and his current practice location is
124 S 2nd St, Spring Valley, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(715) 778-5543.
NPI number for Jack L Palumbo is 1437202983 and his current mailing address is Po Box 428, Spring Valley, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437202983.
Healthcare Provider's Profile
| Full Name | Jack L Palumbo |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 124 S 2nd St, Spring Valley, Wisconsin |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1437202983
- Provider Enumeration Date: 01/19/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Jack L Palumbo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437202983 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 5001275 (Illinois) | 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. Jack L Palumbo 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 |
|---|
Jack L Palumbo, DDS
Po Box 428,
Spring Valley, WI 54767-0428
Ph: () - | Jack L Palumbo, DDS
124 S 2nd St,
Spring Valley, WI 54767
Ph: (715) 778-5543 |
Reviews and Comments