Michael William Cruciger, DDS is a
Student In An Organized Health Care Education/training Program based in Jbsa Lackland, Texas. Michael William Cruciger is licensed to practice in * (Not Available) (license number ) and his current practice location is
1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 292-0123.
NPI number for Michael William Cruciger is 1962013136 and his current mailing address is 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962013136.
Healthcare Provider's Profile
| Full Name | Michael William Cruciger |
|---|
| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1100 Wilford Hall Loop Bldg 4554, Jbsa Lackland, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1962013136
- Provider Enumeration Date: 08/12/2020
- Last Update Date: 08/03/2023
Medical Identifiers
Medical identifiers for Michael William Cruciger such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962013136 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 118904339921 (Utah) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Michael William Cruciger 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 |
|---|
Michael William Cruciger, DDS
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
Ph: (212) 292-0680 | Michael William Cruciger, DDS
1100 Wilford Hall Loop Bldg 4554,
Jbsa Lackland, TX 78236-5638
Ph: (210) 292-0123 |
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