Wayne L Jurkovich, DDS is a
Dentist - General Practice based in Wallace, Idaho. Wayne L Jurkovich is licensed to practice in Idaho (license number D1832) and his current practice location is
611 Bank St, Wallace, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 556-8171.
NPI number for Wayne L Jurkovich is 1700932704 and his current mailing address is 611 Bank St, Wallace, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1700932704.
Healthcare Provider's Profile
| Full Name | Wayne L Jurkovich |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 611 Bank St, Wallace, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1700932704
- Provider Enumeration Date: 01/25/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Wayne L Jurkovich such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1700932704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D1832 (Idaho) | 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. Wayne L Jurkovich 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 |
|---|
Wayne L Jurkovich, DDS
611 Bank St,
Wallace, ID 83873-2226
Ph: (208) 556-8171 | Wayne L Jurkovich, DDS
611 Bank St,
Wallace, ID 83873-2226
Ph: (208) 556-8171 |
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