Dr Constance Annie Wallander, DMD in Kiel, WI

Dr Constance Annie Wallander, DMD is a medicare enrolled "Dentist" provider in Kiel, Wisconsin. Her current practice location is 1250 Teckla Pl, Kiel, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 894-2305.

Dr Constance Annie Wallander is licensed to practice in Wisconsin (license number 6626-15) 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 1063722643.

Contact Information

	Dr Constance Annie Wallander, DMD
	1250 Teckla Pl, Kiel, WI 53042-9623
	(920) 894-2305
	(920) 894-3048

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Constance Annie Wallander
Gender	Female
Speciality	Dentist
Location	1250 Teckla Pl, Kiel, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063722643
Provider Enumeration Date: 10/15/2010
Last Update Date: 05/05/2023

Medicare PECOS Information:

PECOS PAC ID: 2466759543
Enrollment ID: I20160405001482

Medical Identifiers

Medical identifiers for Dr Constance Annie Wallander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063722643	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	6626-15 (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. Dr Constance Annie Wallander 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 Constance Annie Wallander, DMD 1250 Teckla Pl, Kiel, WI 53042-9623 Ph: (920) 894-2305	Dr Constance Annie Wallander, DMD 1250 Teckla Pl, Kiel, WI 53042-9623 Ph: (920) 894-2305

Reviews and Comments

Dentist in Kiel, WI

Dr. Barbara Lynn Karls, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 403 Fremont St, Kiel, WI 53042 Phone: 920-894-2305
Dr. Prachi Shah, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1250 Teckla Pl, Kiel, WI 53042 Phone: 920-894-2305
Dr. David James Pieper, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 W Park Ave, #157, Kiel, WI 53042 Phone: 920-894-2626 Fax: 920-894-2057
Dr. Taylor Schubert, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 701 W Park Ave, Kiel, WI 53042 Phone: 920-894-2626

Dr Constance Annie Wallander, DMD - Medicare Dentist in Kiel, WI