Dr Sage Monroe Humphries, DDS, MS is a
Preferred Provider Organization based in Orange, California. Dr Sage Monroe Humphries is licensed to practice in California (license number 53072) and his current practice location is
725 W La Veta Ave Ste 120, Orange, California. He can be reached at his office (for appointments etc.) via phone at
(714) 997-5961.
NPI number for Dr Sage Monroe Humphries is 1710103486 and his current mailing address is 725 W La Veta Ave Ste 120, Orange, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1710103486.
Healthcare Provider's Profile
| Full Name | Dr Sage Monroe Humphries |
|---|
| Gender | Male |
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| Speciality | Preferred Provider Organization |
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| Location | 725 W La Veta Ave Ste 120, Orange, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1710103486
- Provider Enumeration Date: 04/18/2007
- Last Update Date: 11/15/2011
Medical Identifiers
Medical identifiers for Dr Sage Monroe Humphries such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710103486 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 53072 (California) | Secondary |
| 305R00000X | Preferred Provider Organization | 53072 (California) | 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. Dr Sage Monroe Humphries 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 |
|---|
Dr Sage Monroe Humphries, DDS, MS
725 W La Veta Ave Ste 120,
Orange, CA 92868-4445
Ph: (714) 997-5961 | Dr Sage Monroe Humphries, DDS, MS
725 W La Veta Ave Ste 120,
Orange, CA 92868-4445
Ph: (714) 997-5961 |
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