Dr Thomas B Pelkowski, DDS is a medicare enrolled "Dentist" provider in Colgate, Wisconsin. His current practice location is
3076 Red Fox Cir, Colgate, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(262) 397-7708.
Dr Thomas B Pelkowski is licensed to practice in Wisconsin (license number 5001186-015) 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 1528000304.
Healthcare Provider's Profile
Full Name | Dr Thomas B Pelkowski |
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Gender | Male |
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Speciality | Dentist |
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Location | 3076 Red Fox Cir, Colgate, 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: 1528000304
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 07/08/2014
Medicare PECOS Information:
- PECOS PAC ID: 8426378514
- Enrollment ID: I20150512003092
Medical Identifiers
Medical identifiers for Dr Thomas B Pelkowski such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1528000304 | NPI | - | NPPES |
33705300 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 5001186-015 (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 Thomas B Pelkowski 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 Thomas B Pelkowski, DDS 3076 Red Fox Cir, Colgate, WI 53017-9544 Ph: (262) 397-7708 | Dr Thomas B Pelkowski, DDS 3076 Red Fox Cir, Colgate, WI 53017-9544 Ph: (262) 397-7708 |
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