Stephen M Domres, DDS - Medicare Dentist in West Bend, WI

Stephen M Domres, DDS is a medicare enrolled "Dentist" provider in West Bend, Wisconsin. His current practice location is 1625 W. Paradise Drive, West Bend, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (262) 338-2992.

Stephen M Domres is licensed to practice in Wisconsin (license number 2487) 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 1710109632.

Contact Information

Stephen M Domres, DDS
1625 W. Paradise Drive,
West Bend, WI 53095
(262) 338-2992
(262) 338-6032



Healthcare Provider's Profile

Full NameStephen M Domres
GenderMale
SpecialityDentist
Location1625 W. Paradise Drive, West Bend, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710109632
  • Provider Enumeration Date: 05/02/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3779804844
  • Enrollment ID: I20150602001660

Medical Identifiers

Medical identifiers for Stephen M Domres such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710109632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 2487 (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. Stephen M Domres 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
Stephen M Domres, DDS
1625 W. Paradise Drive,
West Bend, WI 53095

Ph: (262) 338-2992
Stephen M Domres, DDS
1625 W. Paradise Drive,
West Bend, WI 53095

Ph: (262) 338-2992

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› Verified 3 days ago


Dentist in West Bend, WI

Michael Scott Kopecky, DDS MS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 145 N 18th Avenue, West Bend, WI 53095
Phone: 262-334-3084    Fax: 262-334-3552
Dr. Kristine Kim Neuburg, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 533 South Main St., The Gentle Dental Emporium Llc, West Bend, WI 53095
Phone: 262-338-8704    Fax: 262-338-9140
Dr. Kent Alan Zocher, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1500 South Main St, West Bend, WI 53095
Phone: 262-338-0022    Fax: 262-338-7982
Dr. Christopher Flood, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1625 W Paradise Dr, West Bend, WI 53095
Phone: 262-338-2992    
Dr. Tyler Meadows Davis, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1201 Oak St Ste D, West Bend, WI 53095
Phone: 262-310-1860    Fax: 262-310-1861
Christopher Allan Buck, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 1713 N Main Street, West Bend, WI 53090
Phone: 262-334-4083    Fax: 262-334-4996
Daniel H Roth, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1713 Vogt Dr, West Bend, WI 53095
Phone: 262-334-3070    

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