Dr Laura M Tills, DDS in Monona, WI - Medicare Dentist Provider

Dr Laura M Tills, DDS is a medicare enrolled "Dentist" provider in Monona, Wisconsin. Her current practice location is 604 River Place Dr, Monona, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 222-9142.

Dr Laura M Tills is licensed to practice in Wisconsin (license number 5694015) 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 1265508881.

Contact Information

	Dr Laura M Tills, DDS
	604 River Place Dr, Monona, WI 53716
	(608) 222-9142
	(608) 226-8818

Healthcare Provider's Profile

Full Name	Dr Laura M Tills
Gender	Female
Speciality	Dentist
Location	604 River Place Dr, Monona, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265508881
Provider Enumeration Date: 11/27/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 5799004818
Enrollment ID: I20150512000406

Medical Identifiers

Medical identifiers for Dr Laura M Tills such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265508881	NPI	-	NPPES
33795300	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	5694015 (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 Laura M Tills 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 Laura M Tills, DDS 604 River Place Dr, Monona, WI 53716 Ph: (608) 222-9142	Dr Laura M Tills, DDS 604 River Place Dr, Monona, WI 53716 Ph: (608) 222-9142

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Dentist in Monona, WI

Dr. Beth Ann Blair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 River Pl, Suite 110, Monona, WI 53716 Phone: 608-222-6160 Fax: 608-222-6248
Dr. Robert Charles Knutson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4925 Monona Dr, Monona, WI 53716 Phone: 608-222-3403 Fax: 608-222-4043
Dr. Ronald Melvin Wanek, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4915 Monona Dr, Monona, WI 53716 Phone: 608-222-7077
Dr. William A Lee, DOCTOR Dentist Medicare: Not Enrolled in Medicare Practice Location: 802 W Broadway, #320, Monona, WI 53713 Phone: 608-221-3326
Dr. Richard H Teteak, Dentist Medicare: Not Enrolled in Medicare Practice Location: 502 River Pl, Monona, WI 53716 Phone: 608-222-9146 Fax: 608-222-8164
Dr. William Howard Wilcox, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 502 River Pl, Monona, WI 53716 Phone: 608-839-7220
Dr. Joann Marie Miller, DDS Dentist Medicare: Medicare Enrolled Practice Location: 100 River Pl, Monona, WI 53716 Phone: 608-222-3231

Dr Laura M Tills, DDS - Medicare Dentist in Monona, WI