Wallace Jeffrey Ernst, DDS is a medicare enrolled "Dentist - General Practice" provider in Riceville, Iowa. His current practice location is
106 W 5th Street, Riceville, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 985-2555.
Wallace Jeffrey Ernst is licensed to practice in Iowa (license number 7059) 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 1114949740.
Healthcare Provider's Profile
Full Name | Wallace Jeffrey Ernst |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 106 W 5th Street, Riceville, Iowa |
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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: 1114949740
- Provider Enumeration Date: 07/24/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5193015246
- Enrollment ID: I20160602001569
Medical Identifiers
Medical identifiers for Wallace Jeffrey Ernst such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114949740 | NPI | - | NPPES |
22772 | Other | IA | BCBS |
1227736 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 7059 (Iowa) | 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. Wallace Jeffrey Ernst 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 |
Wallace Jeffrey Ernst, DDS Po Box 99, 106 W 5th Street, Riceville, IA 50466 Ph: (641) 985-2555 | Wallace Jeffrey Ernst, DDS 106 W 5th Street, Riceville, IA 50466 Ph: (641) 985-2555 |
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