Craig Carl Thiede, DDS in Tustin, CA - Medicare Dentist Provider

Craig Carl Thiede, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Tustin, California. His current practice location is 13522 Newport Ave Ste 109, Tustin, California. You can reach out to his office (for appointments etc.) via phone at (714) 730-6767.

Craig Carl Thiede is licensed to practice in California (license number 40892) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1528127024.

Contact Information

	Craig Carl Thiede, DDS
	13522 Newport Ave Ste 109, Tustin, CA 92780-3707
	(714) 730-6767
	(714) 730-1161

Map and Direction

Healthcare Provider's Profile

Full Name	Craig Carl Thiede
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	13522 Newport Ave Ste 109, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528127024
Provider Enumeration Date: 12/08/2006
Last Update Date: 03/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9234428897
Enrollment ID: I20160520001050

Medical Identifiers

Medical identifiers for Craig Carl Thiede such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528127024	NPI	-	NPPES
B40892-01	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	40892 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Craig Carl Thiede allows following entities to bill medicare on his behalf.

Entity Name	Craig C Thiede Dds
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841892148 PECOS PAC ID: 7113392333 Enrollment ID: O20230331000643

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. Craig Carl Thiede is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Craig Carl Thiede, DDS 13522 Newport Ave Ste 109, Tustin, CA 92780-3707 Ph: (714) 730-6767	Craig Carl Thiede, DDS 13522 Newport Ave Ste 109, Tustin, CA 92780-3707 Ph: (714) 730-6767

Reviews and Comments

Dentist in Tustin, CA

Nathan Ducthong Vu, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 14001 Newport Ave Ste C, Tustin, CA 92780 Phone: 714-508-8500 Fax: 714-508-8011
Dr. Dave Hoaiphuong Nguyen, D.M.D Dentist Medicare: Not Enrolled in Medicare Practice Location: 13400 Newport Ave Ste B, Tustin, CA 92780 Phone: 714-838-1280 Fax: 714-838-1264
Dimple Manchandia, Dentist Medicare: Not Enrolled in Medicare Practice Location: 18102 Irvine Blvd, Suite 200, Tustin, CA 92780 Phone: 714-832-7220
Dr. Victor Paul Cayabyab Valdez Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 181 El Camino Real, Suite B, Tustin, CA 92780 Phone: 714-669-9555 Fax: 714-669-9496
Dr. Vinit H Joshi, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3053 Edinger Ave, Tustin, CA 92780 Phone: 949-653-5609
Jae H. Kwak, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1631 Edinger Ave Ste 105, Tustin, CA 92780 Phone: 714-717-3757
Dr. Jimmy Binh-phi Tran, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18102 Irvine Blvd, Tustin, CA 92780 Phone: 714-714-0818

Craig Carl Thiede, DDS - Medicare Dentist in Tustin, CA