Dr Rita Diana Philip, DDS | |
6226 14th Ave, Kenosha, WI 53143-4413 | |
(262) 656-0044 | |
Not Available |
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245410984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 1001144-15 (Wisconsin) | Secondary |
122300000X | Dentist | 019028715 (Illinois) | Primary |
Entity Name | Erie Family Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760499545 PECOS PAC ID: 9537050422 Enrollment ID: O20040322000689 |
Mailing Address | Practice Location Address |
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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 |
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 | |
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 | |
Jasjot Chahil, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6430 Green Bay Rd, Kenosha, WI 53142 Phone: 888-988-4066 |