Dr Ronald Keith Underdale, DDS in Superior, WI - Medicare Dentist Provider

Dr Ronald Keith Underdale, DDS is a medicare enrolled "Dentist" provider in Superior, Wisconsin. His current practice location is 1507 Tower Ave, Suite 211, Superior, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (715) 394-9450.

Dr Ronald Keith Underdale is licensed to practice in Wisconsin (license number 4001532) 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 1417026485.

Contact Information

	Dr Ronald Keith Underdale, DDS
	1507 Tower Ave, Suite 211, Superior, WI 54880-2554
	(715) 394-9450
	(715) 394-7116

Healthcare Provider's Profile

Full Name	Dr Ronald Keith Underdale
Gender	Male
Speciality	Dentist
Location	1507 Tower Ave, Superior, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417026485
Provider Enumeration Date: 11/06/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648549782
Enrollment ID: I20170706000977

Medical Identifiers

Medical identifiers for Dr Ronald Keith Underdale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417026485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	4001532 (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 Ronald Keith Underdale 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 Ronald Keith Underdale, DDS 1507 Tower Ave, Suite 211, Superior, WI 54880-2554 Ph: (715) 394-9450	Dr Ronald Keith Underdale, DDS 1507 Tower Ave, Suite 211, Superior, WI 54880-2554 Ph: (715) 394-9450

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Dentist in Superior, WI

Dr. Jon Gregorie Nelson, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 418 23rd Ave E, Superior, WI 54880 Phone: 715-398-3239 Fax: 715-398-5799
Dr. Kirkland A Fehrman, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2222 E 5th St, Superior, WI 54880 Phone: 715-394-5411 Fax: 715-392-5086
Thomas A Linstroth, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3600 Tower Ave, Superior, WI 54880 Phone: 715-394-5411
Dr. Arthur David Zehm, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1507 Tower Ave, Ste 409, Superior, WI 54880 Phone: 715-392-3499
Dr. Kevin M Mikel, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3312 Tower Avenue, Superior, WI 54880 Phone: 715-392-1132 Fax: 715-392-2333
Dr. John E Conkright, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 823 Belknap St, Suite 220, Superior, WI 54880 Phone: 715-392-4545 Fax: 715-392-4547
Dr. Mark D Callaway, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6401 Tower Ave, Superior, WI 54880 Phone: 715-392-1529

Dr Ronald Keith Underdale, DDS - Medicare Dentist in Superior, WI