Dr Malia Thao, DDS in Middleton, WI - Medicare Dentist Provider

Dr Malia Thao, DDS is a medicare enrolled "Dentist" provider in Middleton, Wisconsin. Her current practice location is 8215 Greenway Blvd Ste 100, Middleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 827-6453.

Dr Malia Thao is licensed to practice in Wisconsin (license number 1001581) 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 1548795883.

Contact Information

	Dr Malia Thao, DDS
	8215 Greenway Blvd Ste 100, Middleton, WI 53562-3686
	(608) 827-6453
	Not Available

Healthcare Provider's Profile

Full Name	Dr Malia Thao
Gender	Female
Speciality	Dentist
Location	8215 Greenway Blvd Ste 100, Middleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548795883
Provider Enumeration Date: 04/24/2017
Last Update Date: 01/31/2022

Medicare PECOS Information:

PECOS PAC ID: 7810267291
Enrollment ID: I20170718000277

Medical Identifiers

Medical identifiers for Dr Malia Thao such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548795883	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	1001581 (Wisconsin)	Secondary
122300000X	Dentist	1001581 (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 Malia Thao 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 Malia Thao, DDS 8215 Greenway Blvd Ste 100, Middleton, WI 53562-3686 Ph: (608) 827-6453	Dr Malia Thao, DDS 8215 Greenway Blvd Ste 100, Middleton, WI 53562-3686 Ph: (608) 827-6453

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Dentist in Middleton, WI

Dr. Kapil Thacker, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6301 University Ave, Middleton, WI 53562 Phone: 608-238-6244
Dr. Brian S. Mclellan, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 7433 Elmwood Ave, Middleton, WI 53562 Phone: 608-831-7799 Fax: 608-831-8430
James Harold Shipley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8383 Greenway Blvd, Suite 120, Middleton, WI 53562 Phone: 608-836-1422 Fax: 608-831-2108
Dr. Marissa Cody, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8215 Greenway Blvd Ste 100, Middleton, WI 53562 Phone: 608-827-6453
Dana B Lubet, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 6661 University Ave, Suite 104, Middleton, WI 53562 Phone: 608-836-1446 Fax: 608-836-0339
Dr. Terry A. Burke, D.D.S., M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 7433 Elmwood Ave, Middleton, WI 53562 Phone: 608-831-7799
Dr. Brad A Hartjes, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1001 N Gammon Rd, Suite 2, Middleton, WI 53562 Phone: 608-836-5600 Fax: 608-836-4589

Dr Malia Thao, DDS - Medicare Dentist in Middleton, WI