Krista S Primley, in Green Bay, WI - Medicare Dentist Provider

Krista S Primley, is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Green Bay, Wisconsin. Her current practice location is 2581 Development Dr, Green Bay, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 347-0400.

Krista S Primley is licensed to practice in Wisconsin (license number 6001396) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073013025.

Contact Information

	Krista S Primley,
	2581 Development Dr, Green Bay, WI 54311-4247
	(920) 347-0400
	(920) 347-0868

Map and Direction

Healthcare Provider's Profile

Full Name	Krista S Primley
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	2581 Development Dr, Green Bay, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073013025
Provider Enumeration Date: 02/16/2018
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 1456607217
Enrollment ID: I20230914003226

Medical Identifiers

Medical identifiers for Krista S Primley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073013025	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	D14292 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	RES-30533 (Iowa)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	6001396 (Wisconsin)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Krista S Primley allows following entities to bill medicare on her behalf.

Entity Name	Group Health Plan Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1710924683 PECOS PAC ID: 1759293954 Enrollment ID: O20031105000417

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. Krista S Primley 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
Krista S Primley, 1035 Kepler Dr, Green Bay, WI 54311-8320 Ph: (920) 490-9046	Krista S Primley, 2581 Development Dr, Green Bay, WI 54311-4247 Ph: (920) 347-0400

Reviews and Comments

Dentist in Green Bay, WI

Dr. Charles Lee Ellis, DDS, MD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2353 S Ridge Road, Green Bay, WI 54304 Phone: 920-499-0471 Fax: 920-499-8312
Dr. Bradley S Koch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2353 S Ridge Rd, Green Bay, WI 54304 Phone: 920-499-0471 Fax: 920-499-8312
Dr. William Arthur Brennan, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 430 Main St, Green Bay, WI 54301 Phone: 920-431-1745 Fax: 920-431-1715
Lee S Bialkowski, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2821 S Webster Ave, Green Bay, WI 54301 Phone: 920-336-2299
Dr. Thomas Kissner, Dentist Medicare: Medicare Enrolled Practice Location: 2476 S Oneida St, Green Bay, WI 54304 Phone: 920-965-0764 Fax: 920-965-0807
Thuy Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 331 N Broadway, Green Bay, WI 54303 Phone: 920-965-0831
Miss Alyce Sharon Hockers, Dentist Medicare: Medicare Enrolled Practice Location: 2121 S Webster Ave, Green Bay, WI 54301 Phone: 920-609-4829

Krista S Primley, - Medicare Dentist in Green Bay, WI