Dr Robert Kevin Reilly, DDS is a
Dentist based in Manawa, Wisconsin. Dr Robert Kevin Reilly is licensed to practice in Wisconsin (license number 2765) and his current practice location is
401 Second Street, Manawa, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 596-3133.
NPI number for Dr Robert Kevin Reilly is 1669589602 and his current mailing address is Po Box 956, Manawa, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1669589602.
Healthcare Provider's Profile
| Full Name | Dr Robert Kevin Reilly |
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| Gender | Male |
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| Speciality | Dentist |
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| Location | 401 Second Street, Manawa, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1669589602
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Robert Kevin Reilly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1669589602 | NPI | - | NPPES |
| 33428100 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2765 (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 Robert Kevin Reilly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Robert Kevin Reilly, DDS
Po Box 956,
Manawa, WI 54949
Ph: (920) 596-3133 | Dr Robert Kevin Reilly, DDS
401 Second Street,
Manawa, WI 54949
Ph: (920) 596-3133 |
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