Dr Mark Anthony Boldt, DDS - Medicare Dentist in West Allis, WI

Dr Mark Anthony Boldt, DDS is a medicare enrolled "Dentist - Prosthodontics" provider in West Allis, Wisconsin. His current practice location is 2323 S. 109th Street, Suite 295, West Allis, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 545-5225.

Dr Mark Anthony Boldt is licensed to practice in Wisconsin (license number 4290-015) 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 1831291996.

Contact Information

Dr Mark Anthony Boldt, DDS
2323 S. 109th Street, Suite 295,
West Allis, WI 53227
(414) 545-5225
(414) 545-5251



Healthcare Provider's Profile

Full NameDr Mark Anthony Boldt
GenderMale
SpecialityDentist - Prosthodontics
Location2323 S. 109th Street, West Allis, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1831291996
  • Provider Enumeration Date: 09/01/2006
  • Last Update Date: 02/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 2961713433
  • Enrollment ID: I20150624002850

Medical Identifiers

Medical identifiers for Dr Mark Anthony Boldt such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1831291996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223P0700XDentist - Prosthodontics 4290-015 (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 Mark Anthony Boldt 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 Mark Anthony Boldt, DDS
2323 S. 109th Street, Suite 295,
West Allis, WI 53227

Ph: (414) 545-5225
Dr Mark Anthony Boldt, DDS
2323 S. 109th Street, Suite 295,
West Allis, WI 53227

Ph: (414) 545-5225

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Dentist in West Allis, WI

Matthew Boeker, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 5400 W Lincoln Ave, West Allis, WI 53219
Phone: 414-327-6162    
Dr. Ronald Howard Verhulst, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 10401 W Lincoln Ave, 102, West Allis, WI 53227
Phone: 414-546-3151    Fax: 414-545-4441
Dr. Mariela Siehoff, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 10202 W Hayes Ave, West Allis, WI 53227
Phone: 414-321-2720    Fax: 414-321-7718
Dr. James Richard Maurin, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 10401 W Lincoln Ave Ste 204, West Allis, WI 53227
Phone: 414-545-5380    Fax: 414-545-0622
Dr. Mohamed Z Adl, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 555 S 108th St, West Allis, WI 53214
Phone: 414-566-6400    Fax: 414-566-3900
Dr. Nicholas Roy Russo, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 6754 W Beloit Rd, West Allis, WI 53219
Phone: 414-327-1210    Fax: 414-327-6850
Dr. James Robert Coakley, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 8900 W Lincoln Ave, West Allis, WI 53227
Phone: 414-541-8900    Fax: 414-541-6680

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