Dr Rita Diana Philip, DDS in Kenosha, WI - Medicare Dentist Provider

Dr Rita Diana Philip, DDS is a medicare enrolled "Dentist" provider in Kenosha, Wisconsin. Her current practice location is 6226 14th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 656-0044.

Dr Rita Diana Philip is licensed to practice in Illinois (license number 019028715) 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 1245410984.

Contact Information

	Dr Rita Diana Philip, DDS
	6226 14th Ave, Kenosha, WI 53143-4413
	(262) 656-0044
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rita Diana Philip
Gender	Female
Speciality	Dentist
Location	6226 14th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245410984
Provider Enumeration Date: 11/09/2007
Last Update Date: 03/21/2025

Medicare PECOS Information:

PECOS PAC ID: 9436448354
Enrollment ID: I20220607003363

Medical Identifiers

Medical identifiers for Dr Rita Diana Philip such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245410984	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	1001144-15 (Wisconsin)	Secondary
122300000X	Dentist	019028715 (Illinois)	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 Rita Diana Philip allows following entities to bill medicare on her behalf.

Entity Name	Erie Family Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689

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 Rita Diana Philip 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 Rita Diana Philip, DDS 6226 14th Ave, Kenosha, WI 53143-4413 Ph: (262) 656-0044	Dr Rita Diana Philip, DDS 6226 14th Ave, Kenosha, WI 53143-4413 Ph: (262) 656-0044

Reviews and Comments

Dentist in Kenosha, WI

Jane Lynn Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142 Phone: 262-942-7000 Fax: 262-942-7117
Dr. Cesar D Gonzalez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Dr. David J. Crewe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 80th St, Kenosha, WI 53142 Phone: 262-694-2932 Fax: 262-694-3575
Hannah Richards, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 80th St, Kenosha, WI 53142 Phone: 262-694-2932
Dr. Tarah Marie Gerner, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 6226 14th Ave, Kenosha, WI 53143 Phone: 262-656-0044
Dr. Edmund Jung, Dentist Medicare: Medicare Enrolled Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-654-6800 Fax: 262-657-9995
Dr. Jane Wright, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7851 Cooper Rd, Kenosha, WI 53142 Phone: 262-694-5272

Dr Rita Diana Philip, DDS - Medicare Dentist in Kenosha, WI