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DR. MARY VEZZETTI DDS
NPI 1306095922
Dentist - General Practice in Sussex, WI

Active since September 18, 2008PECOS Enrolled
W249N5245 EXECUTIVE DR, SUITE 206, SUSSEX, WI 53089(262) 820-3330(262) 820-3325 Get Directions Write a Review

NPPES record last updated: June 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mary Vezzetti Dds NPPES

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

DR. MARY VEZZETTI DDS (NPI 1306095922) is an individual general practice provider in Sussex, Wisconsin, licensed in Wisconsin (5042-015) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306095922
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MARY VEZZETTICredential: DDS
Location AddressW249N5245 EXECUTIVE DR, SUITE 206Sussex, WI 53089-4393
Mailing AddressW249n5245 Executive Dr, Suite 206Sussex, WI 53089-4393 · (262) 820-3330 · Fax (262) 820-3325
Phone(262) 820-3330
Fax(262) 820-3325
Sole ProprietorYes
Enumeration DateSeptember 18, 2008
Last NPPES UpdateJune 27, 2012
✔ NPI 1306095922 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in WI · 5042-015
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
W249N5245 EXECUTIVE DR, Sussex, WI 53089
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Vezzetti Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53089 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 2

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

PHEBE PURNELL L. AC
Acupuncturist
W249N5245 EXECUTIVE DR
SUSSEX, WI 53089
Waukesha County (262) 691-8888
VEZZETTI FAMILY DENTAL CARE
Clinic/Center (Dental)
W249N5245 EXECUTIVE DR, SUITE 206
SUSSEX, WI 53089
Waukesha County (262) 820-3330

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Vezzetti's NPI number?

The NPI number for Mary Vezzetti is 1306095922. It was assigned to this individual provider in the NPPES registry on September 18, 2008.

Where is Mary Vezzetti located?

Mary Vezzetti practices at W249n5245 Executive Dr Suite 206, Sussex, WI 53089. The listed phone number is (262) 820-3330.

What is Mary Vezzetti's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Mary Vezzetti enrolled in Medicare?

Yes. Mary Vezzetti is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Vezzetti was last updated on June 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.