Dr Philip Lee Koehler, DDS in Pewaukee, WI - Medicare Dentist Provider

Dr Philip Lee Koehler, DDS is a medicare enrolled "Dentist" provider in Pewaukee, Wisconsin. His current practice location is 562 Majeskie Dr, Pewaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 695-4019.

Dr Philip Lee Koehler is licensed to practice in Wisconsin (license number 4112) 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 1477642965.

Contact Information

	Dr Philip Lee Koehler, DDS
	562 Majeskie Dr, Pewaukee, WI 53072-6534
	(262) 695-4019
	Not Available

Healthcare Provider's Profile

Full Name	Dr Philip Lee Koehler
Gender	Male
Speciality	Dentist
Location	562 Majeskie Dr, Pewaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477642965
Provider Enumeration Date: 10/12/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9830494442
Enrollment ID: I20160219000073

Medical Identifiers

Medical identifiers for Dr Philip Lee Koehler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477642965	NPI	-	NPPES
33693000	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	4112 (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 Philip Lee Koehler 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 Philip Lee Koehler, DDS 562 Majeskie Dr, Pewaukee, WI 53072 Ph: (262) 695-8709	Dr Philip Lee Koehler, DDS 562 Majeskie Dr, Pewaukee, WI 53072-6534 Ph: (262) 695-4019

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Dentist in Pewaukee, WI

Dr. Mark R Zelko, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2305 Silvernail Rd, Pewaukee, WI 53072 Phone: 262-548-0770
Richard Razdolsky, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 Capitol Dr, Pewaukee, WI 53072 Phone: 262-691-3931
Dr. Jeffrey Stuart Niedziela, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 135 Capitol Dr, Pewaukee, WI 53072 Phone: 262-691-3931 Fax: 262-691-3938
Dr. Afshin Hamedi, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 285 Forest Grove Dr, Suite 201, Pewaukee, WI 53072 Phone: 262-695-1515
Dr. Christy Anna Gajewski, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 2305 Silvernail Rd, Pewaukee, WI 53072 Phone: 262-548-0770
Dr. Janelle Ann Ferber Stumpf, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: N 28 W 23000 Roundy Drive, Suite 100, Pewaukee, WI 53072 Phone: 262-970-0111 Fax: 262-436-0375
Dr. Daniel Edmond Myers, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 347 Park Ave, Pewaukee, WI 53072 Phone: 262-691-1000

Dr Philip Lee Koehler, DDS - Medicare Dentist in Pewaukee, WI