Dr Bert Welch Winterholler, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Blgs, Montana. His current practice location is
2675 Central Ave, Ste L8, Blgs, Montana. You can reach out to his office (for appointments etc.) via phone at
(406) 259-7438.
Dr Bert Welch Winterholler is licensed to practice in Montana (license number 1820) 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 1841356094.
Healthcare Provider's Profile
| Full Name | Dr Bert Welch Winterholler |
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| Gender | Male |
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| Speciality | Dentist - Oral And Maxillofacial Surgery |
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| Location | 2675 Central Ave, Blgs, Montana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841356094
- Provider Enumeration Date: 12/29/2006
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 9830276823
- Enrollment ID: I20111214001091
Medical Identifiers
Medical identifiers for Dr Bert Welch Winterholler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841356094 | NPI | - | NPPES |
| 6128 | Other | | PIN |
| 1820 | Other | MT | DENTIST |
| 18204 | Other | MT | BLUE CROSS BLUE SHIELD |
| 11-5011 | Medicaid | MT | |
| 112397100 | Other | WY | TITLE XIX - GROUP |
| 830BW02 | Other | WY | WY CONTROLLED SUBSTANCE |
| 1757 | Other | ND | DENTIST |
| 757 | Other | WY | WYOMING |
| 112449800 | Other | WY | TITLE XIX - INDIVIDUAL |
| 6593 | Other | NE | DENTIST |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 1820 (Montana) | 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. Dr Bert Welch Winterholler allows following entities to bill medicare on his behalf.
| Entity Name | Summit Oral Surgery & Implant Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073656567
PECOS PAC ID: 2961460258
Enrollment ID: O20050103001050 |
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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 Bert Welch Winterholler 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 Bert Welch Winterholler, DDS
2675 Central Ave, Ste L8,
Blgs, MT 59102-6686
Ph: (406) 259-7438 | Dr Bert Welch Winterholler, DDS
2675 Central Ave, Ste L8,
Blgs, MT 59102-6686
Ph: (406) 259-7438 |
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