Douglas Persich, DDS in West Allis, WI - Medicare Dentist Provider

Douglas Persich, DDS is a medicare enrolled "Dentist" provider in West Allis, Wisconsin. His current practice location is 7130 W Greenfield Ave, West Allis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 258-2500.

Douglas Persich is licensed to practice in Wisconsin (license number 5001644) 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 1205082377.

Contact Information

	Douglas Persich, DDS
	7130 W Greenfield Ave, West Allis, WI 53214-4708
	(414) 258-2500
	(414) 238-6881

Healthcare Provider's Profile

Full Name	Douglas Persich
Gender	Male
Speciality	Dentist
Location	7130 W Greenfield Ave, West Allis, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205082377
Provider Enumeration Date: 08/08/2008
Last Update Date: 08/08/2008

Medicare PECOS Information:

PECOS PAC ID: 9234435199
Enrollment ID: I20160303000179

Medical Identifiers

Medical identifiers for Douglas Persich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205082377	NPI	-	NPPES
33540100	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5001644 (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. Douglas Persich 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
Douglas Persich, DDS 7130 W Greenfield Ave, West Allis, WI 53214-4708 Ph: () -	Douglas Persich, DDS 7130 W Greenfield Ave, West Allis, WI 53214-4708 Ph: (414) 258-2500

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Dentist in West Allis, WI

Matthew Boeker, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5400 W Lincoln Ave, West Allis, WI 53219 Phone: 414-327-6162
Dr. Ronald Howard Verhulst, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10401 W Lincoln Ave, 102, West Allis, WI 53227 Phone: 414-546-3151 Fax: 414-545-4441
Dr. Mariela Siehoff, DDS Dentist Medicare: Medicare Enrolled Practice Location: 10202 W Hayes Ave, West Allis, WI 53227 Phone: 414-321-2720 Fax: 414-321-7718
Dr. James Richard Maurin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10401 W Lincoln Ave Ste 204, West Allis, WI 53227 Phone: 414-545-5380 Fax: 414-545-0622
Dr. Mohamed Z Adl, DDS Dentist Medicare: Medicare Enrolled Practice Location: 555 S 108th St, West Allis, WI 53214 Phone: 414-566-6400 Fax: 414-566-3900
Dr. Nicholas Roy Russo, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6754 W Beloit Rd, West Allis, WI 53219 Phone: 414-327-1210 Fax: 414-327-6850
Dr. James Robert Coakley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8900 W Lincoln Ave, West Allis, WI 53227 Phone: 414-541-8900 Fax: 414-541-6680

Douglas Persich, DDS - Medicare Dentist in West Allis, WI