Joseph M Wentzell, MD is a
Dermatology - Mohs-micrographic Surgery physician based in Lynden, Washington. Joseph M Wentzell is licensed to practice in Washington (license number 60351927) and his current practice location is 1934 Emerald Way, Lynden, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 320-8579.
NPI number for Joseph M Wentzell is 1053478396 and his current mailing address is 1934 Emerald Way, Lynden, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053478396.
Physician's Profile
| Full Name | Joseph M Wentzell |
|---|
| Gender | Male |
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| Speciality | Dermatology - Mohs-micrographic Surgery |
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| Location | 1934 Emerald Way, Lynden, Washington |
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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: 1053478396
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 05/18/2022
Medical Identifiers
Medical identifiers for Joseph M Wentzell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053478396 | NPI | - | NPPES |
| 000096270 | Other | WY | BCBS PIN |
| 0011305 | Other | MT | MDCD PIN |
| 100431000 | Other | WY | MDCD PIN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 4270A (Wyoming) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 59833 (Arizona) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 0101268874 (Virginia) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 6255 (Montana) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 60351927 (Washington) | 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. Joseph M Wentzell 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 |
|---|
Joseph M Wentzell, MD
1934 Emerald Way,
Lynden, WA 98264-9734
Ph: (360) 320-8579 | Joseph M Wentzell, MD
1934 Emerald Way,
Lynden, WA 98264-9734
Ph: (360) 320-8579 |
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