James P Imp, DDS is a medicare enrolled "Dentist" provider in Richfield, Wisconsin. His current practice location is
2825 Farview Dr, Richfield, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 677-3786.
James P Imp is licensed to practice in Wisconsin (license number 5001209) 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 1912198474.
Healthcare Provider's Profile
Full Name | James P Imp |
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Gender | Male |
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Speciality | Dentist |
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Location | 2825 Farview Dr, Richfield, 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: 1912198474
- Provider Enumeration Date: 08/08/2007
- Last Update Date: 08/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6901196021
- Enrollment ID: I20160602000469
Medical Identifiers
Medical identifiers for James P Imp such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912198474 | NPI | - | NPPES |
33796100 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5001209 (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. James P Imp 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 |
James P Imp, DDS 2825 Farview Dr, Richfield, WI 53076-9712 Ph: (262) 677-3786 | James P Imp, DDS 2825 Farview Dr, Richfield, WI 53076-9712 Ph: (262) 677-3786 |
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