Dr Alissa Edwards, DDS in Menasha, WI - Medicare Dentist Provider

Dr Alissa Edwards, DDS is a medicare enrolled "Dentist" provider in Menasha, Wisconsin. Her current practice location is 1155 Wittmann Dr, Menasha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 725-5584.

Dr Alissa Edwards is licensed to practice in Wisconsin (license number 6542-15) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1578874426.

Contact Information

	Dr Alissa Edwards, DDS
	1155 Wittmann Dr, Menasha, WI 54952-3607
	(920) 725-5584
	Not Available

Healthcare Provider's Profile

Full Name	Dr Alissa Edwards
Gender	Female
Speciality	Dentist
Location	1155 Wittmann Dr, Menasha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578874426
Provider Enumeration Date: 06/25/2010
Last Update Date: 08/20/2013

Medicare PECOS Information:

PECOS PAC ID: 5294034740
Enrollment ID: I20160504001598

Medical Identifiers

Medical identifiers for Dr Alissa Edwards such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578874426	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6542-15 (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. Dr Alissa Edwards 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
Dr Alissa Edwards, DDS 4866 W Corsican Pine Dr, Appleton, WI 54913-6509 Ph: (414) 975-2240	Dr Alissa Edwards, DDS 1155 Wittmann Dr, Menasha, WI 54952-3607 Ph: (920) 725-5584

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Dentist in Menasha, WI

Dr. David Arthur De Pas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1431 Province Ter, Menasha, WI 54952 Phone: 920-968-1900
Mr. Robert Charles Lang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1155 Wittmann Drive, Menasha, WI 54952 Phone: 920-722-4711 Fax: 920-722-0972
Dr. Michael J Wockenfus, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 903 E Airport Rd, Menasha, WI 54952 Phone: 920-729-6322 Fax: 920-729-6729
Dr. Susan Kay De Pas, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1431 Province Ter, Menasha, WI 54952 Phone: 920-968-1900
Dr. Andrew C De Wet, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 903 E Airport Rd, Menasha, WI 54952 Phone: 920-215-4160
Ms. Lisa Lynn Lang Riegel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1155 Wittman Drive, Menasha, WI 54952 Phone: 920-722-4711 Fax: 920-722-0972

Dr Alissa Edwards, DDS - Medicare Dentist in Menasha, WI