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DR. EILEEN K PANACEK DDS
NPI 1336162767
Dentist - General Practice in Racine, WI

Active since July 26, 2006Opted out of Medicare · through Jul 25, 2028
1900 LATHROP AVE, RACINE, WI 53405(262) 632-0719(262) 632-1007 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Dr. Eileen K Panacek Dds NPPES

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

DR. EILEEN K PANACEK DDS (NPI 1336162767) is an individual general practice provider in Racine, Wisconsin, licensed in Wisconsin (2760) and active in the NPI registry since July 2006. She has opted out of Medicare through July 25, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1336162767
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. EILEEN K PANACEKCredential: DDS
Location Address1900 LATHROP AVERacine, WI 53405
Mailing Address1900 Lathrop AveRacine, WI 53405 · (262) 632-0719 · Fax (262) 632-1007
Phone(262) 632-0719
Fax(262) 632-1007
Sole ProprietorYes
Enumeration DateJuly 26, 2006
Last NPPES UpdateApril 12, 2011
✔ NPI 1336162767 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 · 2760
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.
1900 LATHROP AVE, Racine, WI 53405
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Eileen K Panacek Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 25, 2016 through July 25, 2028.

Opt-Out Effective DateJuly 25, 2016
Opt-Out In Effect ThroughJuly 25, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53405 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.

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 Eileen Panacek's NPI number?

The NPI number for Eileen Panacek is 1336162767. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Eileen Panacek located?

Eileen Panacek practices at 1900 Lathrop Ave, Racine, WI 53405. The listed phone number is (262) 632-0719.

What is Eileen Panacek's specialty?

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

Is Eileen Panacek enrolled in Medicare?

No. Eileen Panacek has opted out of Medicare through July 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Eileen Panacek was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.