Dr Amanda Lee Tavoularis, DDS is a medicare enrolled "Dental Hygienist" provider in Lynnwood, Washington. Her current practice location is
19505 76th Ave W, Ste 100, Lynnwood, Washington. You can reach out to her office (for appointments etc.) via phone at
(425) 775-3613.
Dr Amanda Lee Tavoularis is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982707014.
Healthcare Provider's Profile
Full Name | Dr Amanda Lee Tavoularis |
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Gender | Female |
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Speciality | Dental Hygienist |
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Location | 19505 76th Ave W, Lynnwood, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982707014
- Provider Enumeration Date: 09/06/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799076048
- Enrollment ID: I20160616002611
Medical Identifiers
Medical identifiers for Dr Amanda Lee Tavoularis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982707014 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 7460 (Washington) | Primary |
124Q00000X | Dental Hygienist | (* (Not Available)) | 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 Amanda Lee Tavoularis 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 |
Dr Amanda Lee Tavoularis, DDS 19505 76th Ave W, Ste 100, Lynnwood, WA 98036 Ph: (425) 775-3613 | Dr Amanda Lee Tavoularis, DDS 19505 76th Ave W, Ste 100, Lynnwood, WA 98036 Ph: (425) 775-3613 |
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