Dr Jaclyn Benish, in Lake Mills, WI - Medicare Dentist Provider

Dr Jaclyn Benish, is a medicare enrolled "Dentist - General Practice" provider in Lake Mills, Wisconsin. Her current practice location is 311 E Tyranena Park Rd, Lake Mills, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 648-2331.

Dr Jaclyn Benish is licensed to practice in Wisconsin (license number 5825) 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 1942347604.

Contact Information

	Dr Jaclyn Benish,
	311 E Tyranena Park Rd, Lake Mills, WI 53551-9681
	(920) 648-2331
	(920) 648-3437

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jaclyn Benish
Gender	Female
Speciality	Dentist - General Practice
Location	311 E Tyranena Park Rd, Lake Mills, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942347604
Provider Enumeration Date: 01/31/2007
Last Update Date: 06/15/2009

Medicare PECOS Information:

PECOS PAC ID: 5890086250
Enrollment ID: I20160615002453

Medical Identifiers

Medical identifiers for Dr Jaclyn Benish such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942347604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	5825 (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 Jaclyn Benish 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 Jaclyn Benish, 311 E Tyranena Park Rd, Lake Mills, WI 53551-9681 Ph: (920) 648-2331	Dr Jaclyn Benish, 311 E Tyranena Park Rd, Lake Mills, WI 53551-9681 Ph: (920) 648-2331

Reviews and Comments

Dentist in Lake Mills, WI

Dr. Steven John Fahsel, DDS Dentist Medicare: Medicare Enrolled Practice Location: 119 W Lake St, Lake Mills, WI 53551 Phone: 920-648-2912 Fax: 690-648-8219
Dr. Richard J. Roots, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 140 E Lake St, Lake Mills, WI 53551 Phone: 920-648-8254 Fax: 920-648-3655
Dr. David Kriege, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 135 N Main St, Lake Mills, WI 53551 Phone: 920-648-2327
Dr. Juliet Anne Slavens, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 311 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-2331 Fax: 920-648-3437

Dr Jaclyn Benish, - Medicare Dentist in Lake Mills, WI