Kaitlin Knutson, DDS is a
Dentist based in Ellsworth, Wisconsin. Kaitlin Knutson is licensed to practice in Wisconsin (license number 1001604-15) and her current practice location is
501 Lucas Ln, Ellsworth, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 273-3700.
NPI number for Kaitlin Knutson is 1104356542 and her current mailing address is Po Box 310, Ellsworth, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1104356542.
Healthcare Provider's Profile
| Full Name | Kaitlin Knutson |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 501 Lucas Ln, Ellsworth, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104356542
- Provider Enumeration Date: 06/18/2017
- Last Update Date: 06/14/2021
Medical Identifiers
Medical identifiers for Kaitlin Knutson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104356542 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 1001604-15 (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. Kaitlin Knutson 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 |
|---|
Kaitlin Knutson, DDS
Po Box 310,
Ellsworth, WI 54011-0310
Ph: (715) 273-3700 | Kaitlin Knutson, DDS
501 Lucas Ln,
Ellsworth, WI 54011-2800
Ph: (715) 273-3700 |
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