Dr Alan Joseph Wickenhauser, DMD is a
Dentist - General Practice based in Bethalto, Illinois. Dr Alan Joseph Wickenhauser is licensed to practice in Illinois (license number 019-024793) and his current practice location is
708 E Bethalto Blvd, Bethalto, Illinois. He can be reached at his office (for appointments etc.) via phone at
(618) 377-0044.
NPI number for Dr Alan Joseph Wickenhauser is 1740468750 and his current mailing address is 708 E Bethalto Blvd, Bethalto, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1740468750.
Healthcare Provider's Profile
| Full Name | Dr Alan Joseph Wickenhauser |
|---|
| Gender | Male |
|---|
| Speciality | Dentist - General Practice |
|---|
| Location | 708 E Bethalto Blvd, Bethalto, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1740468750
- Provider Enumeration Date: 02/01/2008
- Last Update Date: 08/09/2017
Medical Identifiers
Medical identifiers for Dr Alan Joseph Wickenhauser such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1740468750 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1223G0001X | Dentist - General Practice | 019-024793 (Illinois) | 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 Alan Joseph Wickenhauser is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Alan Joseph Wickenhauser, DMD 708 E Bethalto Blvd, Bethalto, IL 62010-1871 Ph: (618) 377-0044 | Dr Alan Joseph Wickenhauser, DMD 708 E Bethalto Blvd, Bethalto, IL 62010-1871 Ph: (618) 377-0044 |
Reviews and Comments