Morgan Rae Renner, DMD is a
Dentist based in West Peoria, Illinois. Morgan Rae Renner is licensed to practice in Illinois (license number 019030989) and her current practice location is
2024 W Rohmann Ave, West Peoria, Illinois. She can be reached at her office (for appointments etc.) via phone at
(309) 692-5863.
NPI number for Morgan Rae Renner is 1366985418 and her current mailing address is 2024 W Rohmann Ave, West Peoria, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366985418.
Healthcare Provider's Profile
| Full Name | Morgan Rae Renner |
|---|
| Gender | Female |
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| Speciality | Dentist |
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| Location | 2024 W Rohmann Ave, West Peoria, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366985418
- Provider Enumeration Date: 11/22/2016
- Last Update Date: 10/10/2022
Medical Identifiers
Medical identifiers for Morgan Rae Renner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1366985418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 019030989 (Illinois) | 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. Morgan Rae Renner 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 |
Morgan Rae Renner, DMD 2024 W Rohmann Ave, West Peoria, IL 61604-5500 Ph: (309) 692-5863 | Morgan Rae Renner, DMD 2024 W Rohmann Ave, West Peoria, IL 61604-5500 Ph: (309) 692-5863 |
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