npidexNPI registry + Medicare data

ANDREW BERTAGNA, DMD, MD

Oral and Maxillofacial Surgery (Dentist) · ST CHARLES, IL

Individual Active Opted out of Medicare NPI 1790345262

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Oral and Maxillofacial Surgery (Dentist)1223S0112X✓019032240IL
Dentist122300000X019032240IL

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Opted out of Medicare (Oral Surgery), effective 2025-08-20 through 2027-08-20.

Other Oral and Maxillofacial Surgery (Dentist) providers in Illinois

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.