Wally T Austelle Iii, DMD in Charleston, SC - Medicare Dentist Provider

Wally T Austelle Iii, DMD is a medicare enrolled "Dentist" provider in Charleston, South Carolina. His current practice location is 839 Wappoo Rd, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 556-4746.

Wally T Austelle Iii is licensed to practice in South Carolina (license number 2473) 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 1124302773.

Contact Information

	Wally T Austelle Iii, DMD
	839 Wappoo Rd, Charleston, SC 29407
	(843) 556-4746
	(843) 556-5435

Healthcare Provider's Profile

Full Name	Wally T Austelle Iii
Gender	Male
Speciality	Dentist
Location	839 Wappoo Rd, Charleston, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124302773
Provider Enumeration Date: 09/30/2011
Last Update Date: 09/30/2011

Medicare PECOS Information:

PECOS PAC ID: 0749412930
Enrollment ID: I20140423000744

Medical Identifiers

Medical identifiers for Wally T Austelle Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124302773	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2473 (South Carolina)	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. Wally T Austelle Iii 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
Wally T Austelle Iii, DMD 839 Wappoo Rd, Charleston, SC 29407 Ph: (843) 556-4746	Wally T Austelle Iii, DMD 839 Wappoo Rd, Charleston, SC 29407 Ph: (843) 556-4746

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Dentist in Charleston, SC

Dr. Mary Victoria Tatum, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 92 Courtenay Dr, Charleston, SC 29403 Phone: 843-577-6112 Fax: 843-937-0200
Adam M Clark, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1416 Ashley River Rd, Atlantic Aesthetics, Charleston, SC 29407 Phone: 843-769-0488 Fax: 843-769-0428
Dr. James Randall Marshall, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Bee Street, Dc 500, Charleston, SC 29425 Phone: 843-792-1904 Fax: 843-792-2212
Dr. Fabio Rizzante, DDS, MSC, PHD, MBA Dentist Medicare: Not Enrolled in Medicare Practice Location: 29 Bee Street, Charleston, SC 29425 Phone: 734-489-2834
Dr. James Elliott Gregory Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1812 Wallace School Rd, Charleston, SC 29407 Phone: 843-571-4411
Dr. Theodore D Ravenel V, DMD Dentist Medicare: Medicare Enrolled Practice Location: 173 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3661
Dr. Robert Louis Morrow Sr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18 A Leinbach Dr., Charleston, SC 29407 Phone: 843-795-3339

Wally T Austelle Iii, DMD - Medicare Dentist in Charleston, SC