Richard K Wesley, DDS is a medicare enrolled "Dentist" provider in Gross Pointe Woods, Michigan. His current practice location is
19251 Mack Ave, Ste 70ll, Gross Pointe Woods, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 343-4087.
Richard K Wesley is licensed to practice in Michigan (license number 2901010585) 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 1750301594.
Healthcare Provider's Profile
Full Name | Richard K Wesley |
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Gender | Male |
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Speciality | Dentist |
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Location | 19251 Mack Ave, Gross Pointe Woods, Michigan |
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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: 1750301594
- Provider Enumeration Date: 07/21/2006
- Last Update Date: 04/27/2017
Medicare PECOS Information:
- PECOS PAC ID: 0840288072
- Enrollment ID: I20040505000602
Medical Identifiers
Medical identifiers for Richard K Wesley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750301594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 2901010585 (Michigan) | Primary |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 2901010585 (Michigan) | Secondary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Richard K Wesley allows following entities to bill medicare on his behalf.
Entity Name | Pathology Specialists Of Southeast Michigan Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023100500 PECOS PAC ID: 6608848130 Enrollment ID: O20040806000435 |
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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. Richard K Wesley 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 |
Richard K Wesley, DDS 19251 Mack Ave, Ste 70ll, Gross Pointe Woods, MI 48236 Ph: () - | Richard K Wesley, DDS 19251 Mack Ave, Ste 70ll, Gross Pointe Woods, MI 48236 Ph: (313) 343-4087 |
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