CHARLES POLZIN D.D.S. - NPI 1144546805 - Dentist in Rhinelander, WI

Q: What is Charles Polzin's NPI number?

The NPI number for Charles Polzin is 1144546805. It was assigned to this individual provider in the NPPES registry on April 20, 2010.

Q: What is Charles Polzin's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Q: When was this NPI record last updated?

The NPPES record for Charles Polzin was last updated on January 7, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Charles Polzin D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES POLZIN D.D.S. (NPI 1144546805) is an individual oral and maxillofacial surgery provider in Rhinelander, Wisconsin, licensed in Wisconsin (6605-15) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System-franciscan Medical Center Inc, and is a graduate of Marquette University School Of Dentistry (2010).

NPPES Registry Identity

NPI1144546805

Entity TypeIndividualMale

Primary Taxonomy1223S0112X

Provider Legal NameCHARLES POLZINCredential: D.D.S.

Location Address2268 N SHORE DRRhinelander, WI 54501-8888

Mailing Address2268 N Shore DrRhinelander, WI 54501-8888 · (715) 420-1400 · Fax (715) 420-0701

Phone(715) 420-1400

Fax(715) 420-0701

Sole ProprietorNo

Medical School CMSMarquette University School Of DentistryGraduated 2010

Enumeration DateApril 20, 2010

Last NPPES UpdateJanuary 7, 2015

✔ NPI 1144546805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers

Taxonomy Code1223S0112X

License✔ Licensed in WI · 6605-15

Definition

An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

2268 N SHORE DR, Rhinelander, WI 54501

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Delta Dental of Wisconsin, Inc., Quartz and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Polzin D.d.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1355579335

PECOS Enrollment IDI20140708000517

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mayo Clinic Health System-Franciscan Medical Center Inc

Acute Care Hospitals · La Crosse, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520004

Location700 West Avenue SouthLa Crosse, WI 54601 · La Crosse County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN R. XERRI DDS

Dentist (General Practice)