Claudia V Amezquita-lee, in Appleton, WI - Medicare Dentist Provider

Claudia V Amezquita-lee, is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Appleton, Wisconsin. Her current practice location is 5337 W Grande Market Dr, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 731-7445.

Claudia V Amezquita-lee is licensed to practice in Wisconsin (license number 1002695-15) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588124200.

Contact Information

	Claudia V Amezquita-lee,
	5337 W Grande Market Dr, Appleton, WI 54913-8442
	(920) 731-7445
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Claudia V Amezquita-lee
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	5337 W Grande Market Dr, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588124200
Provider Enumeration Date: 03/20/2019
Last Update Date: 09/14/2021

Medicare PECOS Information:

PECOS PAC ID: 7113455866
Enrollment ID: I20250109001496

Medical Identifiers

Medical identifiers for Claudia V Amezquita-lee such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588124200	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	1002695-15 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Claudia V Amezquita-lee allows following entities to bill medicare on her behalf.

Entity Name	Wyckoff Heights Dental Services Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447298070 PECOS PAC ID: 0749402782 Enrollment ID: O20141107000080

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. Claudia V Amezquita-lee 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
Claudia V Amezquita-lee, 10751 Wilshire Blvd Apt 1003, Los Angeles, CA 90024-4434 Ph: (917) 244-5600	Claudia V Amezquita-lee, 5337 W Grande Market Dr, Appleton, WI 54913-8442 Ph: (920) 731-7445

Reviews and Comments

Dentist in Appleton, WI

Naa Norkor Hammond, Dentist Medicare: Medicare Enrolled Practice Location: 4660 W College Ave, Appleton, WI 54913 Phone: 920-730-0345
Richard A Hack, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2101 E Calumet St, Appleton, WI 54915 Phone: 920-731-2773 Fax: 920-731-6878
Dr. Fred W Cheney, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4660 W College Ave, Appleton, WI 54913 Phone: 920-730-0345
Jonathan David Weber, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 811 N Lynndale Dr Ste 1a, Appleton, WI 54914 Phone: 920-450-4378
Stephen M Moore, Dentist Medicare: Not Enrolled in Medicare Practice Location: 381 S Kools St, Appleton, WI 54914 Phone: 920-996-0123 Fax: 920-735-0123
Dr. Scott A Brezinsky, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 1100 N Lynndale Dr, Appleton, WI 54914 Phone: 920-731-4484
Dr. William H Knapp, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4660 W College Ave, Appleton, WI 54913 Phone: 920-730-0345

Claudia V Amezquita-lee, - Medicare Dentist in Appleton, WI