Kristopher Doersam, DDS is a
Dentist based in S Williamsport, Pennsylvania. Kristopher Doersam is licensed to practice in Pennsylvania (license number DS037538) and her current practice location is
2687 Euclid Ave, S Williamsport, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(570) 326-5456.
NPI number for Kristopher Doersam is 1538585740 and her current mailing address is 401 N Washington St, Montoursville, Pennsylvania. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538585740.
Healthcare Provider's Profile
Full Name | Kristopher Doersam |
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Gender | Female |
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Speciality | Dentist |
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Location | 2687 Euclid Ave, S Williamsport, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1538585740
- Provider Enumeration Date: 03/12/2014
- Last Update Date: 03/12/2014
Medical Identifiers
Medical identifiers for Kristopher Doersam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1538585740 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS037538 (Pennsylvania) | 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. Kristopher Doersam 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 |
Kristopher Doersam, DDS 401 N Washington St, Montoursville, PA 17754-1337 Ph: (570) 326-5456 | Kristopher Doersam, DDS 2687 Euclid Ave, S Williamsport, PA 17702-6754 Ph: (570) 326-5456 |
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