Todd A Stahnke, DDS is a medicare enrolled "Dentist - General Practice" provider in Black Earth, Wisconsin. His current practice location is
1209 Mills St, Black Earth, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(608) 767-3604.
Todd A Stahnke is licensed to practice in Wisconsin (license number 4759-015) 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 1124007844.
Healthcare Provider's Profile
Full Name | Todd A Stahnke |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 1209 Mills St, Black Earth, 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: 1124007844
- Provider Enumeration Date: 01/11/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204156698
- Enrollment ID: I20150527000746
Medical Identifiers
Medical identifiers for Todd A Stahnke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124007844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 4759-015 (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. Todd A Stahnke 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 |
Todd A Stahnke, DDS 1250 Prairie St, Prairie Du Sac, WI 53578-2041 Ph: (608) 643-8505 | Todd A Stahnke, DDS 1209 Mills St, Black Earth, WI 53515-9420 Ph: (608) 767-3604 |
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