Dr Laura Jane Funke, DMD is a medicare enrolled "Dentist" provider in W. Milwaukee, Wisconsin. Her current practice location is
4701 W. Nat'l Ave., W. Milwaukee, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(414) 645-7777.
Dr Laura Jane Funke is licensed to practice in Wisconsin (license number 6306015) 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 1326290735.
Healthcare Provider's Profile
Full Name | Dr Laura Jane Funke |
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Gender | Female |
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Speciality | Dentist |
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Location | 4701 W. Nat'l Ave., W. Milwaukee, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326290735
- Provider Enumeration Date: 10/16/2008
- Last Update Date: 10/16/2008
Medicare PECOS Information:
- PECOS PAC ID: 1557669090
- Enrollment ID: I20160415001496
Medical Identifiers
Medical identifiers for Dr Laura Jane Funke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326290735 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 6306015 (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 Laura Jane Funke 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 Laura Jane Funke, DMD 4701 W. National Ave., W. Milwaukee, WI 53214 Ph: (414) 645-7777 | Dr Laura Jane Funke, DMD 4701 W. Nat'l Ave., W. Milwaukee, WI 53214 Ph: (414) 645-7777 |
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