Marissa Wagehoft, DMD is a
Dentist based in Kersey, Pennsylvania. Marissa Wagehoft is licensed to practice in Pennsylvania (license number DS045212) and her current practice location is
176 Skyline Dr, Kersey, Pennsylvania. She can be reached at her office (for appointments etc.) via phone at
(814) 486-0909.
NPI number for Marissa Wagehoft is 1902794928 and her current mailing address is 712 Valley Dr, East Alton, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1902794928.
Healthcare Provider's Profile
Full Name | Marissa Wagehoft |
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Gender | Female |
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Speciality | Dentist |
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Location | 176 Skyline Dr, Kersey, Pennsylvania |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1902794928
- Provider Enumeration Date: 06/26/2025
- Last Update Date: 06/26/2025
Medical Identifiers
Medical identifiers for Marissa Wagehoft such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902794928 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS045212 (Pennsylvania) | 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. Marissa Wagehoft 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 |
Marissa Wagehoft, DMD 712 Valley Dr, East Alton, IL 62024-1318 Ph: () - | Marissa Wagehoft, DMD 176 Skyline Dr, Kersey, PA 15846-9146 Ph: (814) 486-0909 |
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