James R Sueppel, DDS in Cashton, WI - Medicare Dentist Provider

James R Sueppel, DDS is a medicare enrolled "Dentist - General Practice" provider in Cashton, Wisconsin. His current practice location is 238 Front Street, Scenic Bluffs Health Center, Cashton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (608) 654-5100.

James R Sueppel is licensed to practice in Wisconsin (license number 6171-015) 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 1558357020.

Contact Information

	James R Sueppel, DDS
	238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619
	(608) 654-5100
	(608) 654-5120

Map and Direction

Healthcare Provider's Profile

Full Name	James R Sueppel
Gender	Male
Speciality	Dentist - General Practice
Location	238 Front Street, Cashton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558357020
Provider Enumeration Date: 09/21/2005
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 5799953485
Enrollment ID: I20161214000934

Medical Identifiers

Medical identifiers for James R Sueppel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558357020	NPI	-	NPPES
1003913	Medicaid	IL
07543	Other	IA	IA STATE LICENSE #
7543	Other	IA	DELTA DENTAL (IA)
0080200	Medicaid	IA
1417959	Other	IA	CONTROLLED SUBSTANCE#
421060724	Other	IA	BILLING TAX ID# FOR CHC
990360	Other		UNITED CONCORDIA
IA0156	Other	IA	JOHN DEERE EDI#
1558357020	Medicaid	WI
7543	Other	IA	BC/BS OF IA-BLUE DENTAL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	07543 (Iowa)	Secondary
1223G0001X	Dentist - General Practice	6171-015 (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. James R Sueppel 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
James R Sueppel, DDS P.o. Box 39, 238 Front Street Scenic Bluffs Health Center, Cashton, WI 54619 Ph: (608) 654-5100	James R Sueppel, DDS 238 Front Street, Scenic Bluffs Health Center, Cashton, WI 54619 Ph: (608) 654-5100

Reviews and Comments

Dentist in Cashton, WI

Dr. William Gale Blocki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100
Anna Bonvallet, DDS Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100
Terri Mroch, RDH Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100
Dipika Garg, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100 Fax: 608-654-5120
John Mears, Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100
Martin Tettey, DMD Dentist Medicare: Medicare Enrolled Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100
Jason Bereded, Dentist Medicare: Not Enrolled in Medicare Practice Location: 238 Front St, Cashton, WI 54619 Phone: 608-654-5100

James R Sueppel, DDS - Medicare Dentist in Cashton, WI