Dr Kenneth Bruce Weddell, DDS in Fremont, MI

Dr Kenneth Bruce Weddell, DDS is a medicare enrolled "Dentist" provider in Fremont, Michigan. His current practice location is 111 W Dayton St, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 924-3600.

Dr Kenneth Bruce Weddell is licensed to practice in Michigan (license number 14503) 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 1104884147.

Contact Information

	Dr Kenneth Bruce Weddell, DDS
	111 W Dayton St, Fremont, MI 49412
	(231) 924-3600
	(231) 924-9720

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Bruce Weddell
Gender	Male
Speciality	Dentist
Location	111 W Dayton St, Fremont, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104884147
Provider Enumeration Date: 05/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2668600057
Enrollment ID: I20140616000248

Medical Identifiers

Medical identifiers for Dr Kenneth Bruce Weddell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104884147	NPI	-	NPPES
D808140	Other	MI	BCBS
847376	Other		UN CONCORDIA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	14503 (Michigan)	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 Kenneth Bruce Weddell allows following entities to bill medicare on his behalf.

Entity Name	Kenneth B Weddell Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073862819 PECOS PAC ID: 6406084896 Enrollment ID: O20140616000145

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 Kenneth Bruce Weddell 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 Kenneth Bruce Weddell, DDS 111 W Dayton St, Po Box 437, Fremont, MI 49412 Ph: (231) 924-3600	Dr Kenneth Bruce Weddell, DDS 111 W Dayton St, Fremont, MI 49412 Ph: (231) 924-3600

Reviews and Comments

Dentist in Fremont, MI

Dr. Benjamin Wallace, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 517 N Stone Rd, Fremont, MI 49412 Phone: 231-924-5542
Dr. Gerald Lee Fedelem, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 663 E Main St, Fremont, MI 49412 Phone: 231-924-0790
Dr. Eric Scott Prins, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 855 N Darling Ave, Fremont, MI 49412 Phone: 231-924-4650
Dr. Raymond Prins Iii, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 855 N Darling, Fremont, MI 49412 Phone: 231-924-4650 Fax: 231-924-4650
Spencer Joseph Starley, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 517 N Stone Rd Ste 102, Fremont, MI 49412 Phone: 231-924-5542
Dr. Joshua Abrams Fair, DDS Dentist Medicare: Medicare Enrolled Practice Location: 517 N Stone Rd Ste 102, Fremont, MI 49412 Phone: 231-924-5542

Dr Kenneth Bruce Weddell, DDS - Medicare Dentist in Fremont, MI