Dr Douglas Glen Walesheck, DDS in Saint Paul, MN - Medicare Dentist Provider

Dr Douglas Glen Walesheck, DDS is a medicare enrolled "Dentist - General Practice" provider in Saint Paul, Minnesota. His current practice location is 1346 Payne Ave, Saint Paul, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 774-6085.

Dr Douglas Glen Walesheck is licensed to practice in Minnesota (license number D7367) 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 1043295132.

Contact Information

	Dr Douglas Glen Walesheck, DDS
	1346 Payne Ave, Saint Paul, MN 55101-3434
	(651) 774-6085
	(651) 774-2660

Healthcare Provider's Profile

Full Name	Dr Douglas Glen Walesheck
Gender	Male
Speciality	Dentist - General Practice
Location	1346 Payne Ave, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043295132
Provider Enumeration Date: 12/12/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6901102243
Enrollment ID: I20160311001044

Medical Identifiers

Medical identifiers for Dr Douglas Glen Walesheck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043295132	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	D7367 (Minnesota)	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 Douglas Glen Walesheck 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 Douglas Glen Walesheck, DDS 1346 Payne Ave, Saint Paul, MN 55101-3434 Ph: (651) 774-6085	Dr Douglas Glen Walesheck, DDS 1346 Payne Ave, Saint Paul, MN 55101-3434 Ph: (651) 774-6085

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Dentist in Saint Paul, MN

Dr. Julie C Haman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1514 White Bear Ave N, Saint Paul, MN 55106 Phone: 651-774-0311 Fax: 651-776-3286
Dr. Charles H. Mendes, Dentist Medicare: Medicare Enrolled Practice Location: 550 Snelling Ave S, Saint Paul, MN 55116 Phone: 651-699-0404 Fax: 651-699-9034
Joseph Paul Trowbridge, DDS Dentist Medicare: Medicare Enrolled Practice Location: 30 7th St E, Suite101, Saint Paul, MN 55101 Phone: 651-227-6646 Fax: 651-227-6523
Dr. Minerva C Park, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 555 Wabasha St N Ste 250, Saint Paul, MN 55102 Phone: 651-292-9331
Dr. Jake Samuel Kalkstein, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 450 Syndicate St N Ste 300, Saint Paul, MN 55104 Phone: 651-254-7373
Freeman Newton Rosenblum, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 411 Main St, Suite 400, Saint Paul, MN 55102 Phone: 651-224-4969 Fax: 651-223-8047

Dr Douglas Glen Walesheck, DDS - Medicare Dentist in Saint Paul, MN