Dr David William Wistrom, DDS - Medicare Dentist in Santa Cruz, CA

Dr David William Wistrom, DDS is a medicare enrolled "Dentist - General Practice" provider in Santa Cruz, California. His current practice location is 1830 Commercial Way, Santa Cruz, California. You can reach out to his office (for appointments etc.) via phone at (831) 464-5409.

Dr David William Wistrom is licensed to practice in California (license number 42785) 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 1083632368.

Contact Information

Dr David William Wistrom, DDS
1830 Commercial Way,
Santa Cruz, CA 95065-1819
(831) 464-5409
(831) 464-5415



Healthcare Provider's Profile

Full NameDr David William Wistrom
GenderMale
SpecialityDentist - General Practice
Location1830 Commercial Way, Santa Cruz, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083632368
  • Provider Enumeration Date: 07/17/2006
  • Last Update Date: 04/08/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 0547568412
  • Enrollment ID: I20160408000706

Medical Identifiers

Medical identifiers for Dr David William Wistrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083632368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 42785 (California)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 David William Wistrom 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 AddressPractice Location Address
Dr David William Wistrom, DDS
1830 Commercial Way,
Santa Cruz, CA 95065-1819

Ph: (831) 464-5409
Dr David William Wistrom, DDS
1830 Commercial Way,
Santa Cruz, CA 95065-1819

Ph: (831) 464-5409

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Dentist in Santa Cruz, CA

Nathan D Oster, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1505 Soquel Dr Ste 11, Santa Cruz, CA 95065
Phone: 831-462-4424    Fax: 831-462-2210
Dr. Kevin John Daily, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 4100 Portola Dr, Ste. #4, Santa Cruz, CA 95062
Phone: 831-476-4100    Fax: 831-476-4266
Dr. Henry John Ramirez, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1016 Soquel Ave, Suite A, Santa Cruz, CA 95062
Phone: 831-423-2447    
Dr. Brian James Schabel, D.D.S., M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 550 Water St Ste L2, Santa Cruz, CA 95060
Phone: 831-426-4344    Fax: 831-426-5223
Dr. Catherine Pauline Modjeski, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 1107 Ocean St, Santa Cruz, CA 95060
Phone: 831-600-3261    Fax: 831-466-9483
Carl E Primavera, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1588 Soquel Dr, Santa Cruz, CA 95065
Phone: 831-476-4020    
Dr. Jonathon Wagner, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1017 Mission Street, Santa Cruz, CA 95060
Phone: 831-426-3535    Fax: 831-454-0330

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