Dr Arlene Canchola, DMD in St Johns, FL - Medicare Dentist Provider

Dr Arlene Canchola, DMD is a medicare enrolled "Dentist" provider in St Johns, Florida. Her current practice location is 2233 County Road 210 W, St Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 560-6746.

Dr Arlene Canchola is licensed to practice in Florida (license number DN31441) 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 1881328979.

Contact Information

	Dr Arlene Canchola, DMD
	2233 County Road 210 W, St Johns, FL 32259-4019
	(904) 560-6746
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Arlene Canchola
Gender	Female
Speciality	Dentist
Location	2233 County Road 210 W, St Johns, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881328979
Provider Enumeration Date: 07/13/2022
Last Update Date: 05/14/2026

Medicare PECOS Information:

PECOS PAC ID: 1254717051
Enrollment ID: I20221003000297

Medical Identifiers

Medical identifiers for Dr Arlene Canchola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881328979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	00205147 (Colorado)	Secondary
122300000X	Dentist	DN31441 (Florida)	Primary
122300000X	Dentist	107623 (California)	Secondary

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. Dr Arlene Canchola allows following entities to bill medicare on her behalf.

Entity Name	Peak Vista Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337

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 Arlene Canchola 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 Arlene Canchola, DMD 3655 Mesa Top Dr, Monument, CO 80132-7968 Ph: (562) 501-8791	Dr Arlene Canchola, DMD 2233 County Road 210 W, St Johns, FL 32259-4019 Ph: (904) 560-6746

Reviews and Comments

Dentist in St Johns, FL

Dr. Yi Jey Lin, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4125 Race Track Rd Unit 109, St Johns, FL 32259 Phone: 904-201-8987
Robert Austin Mang, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 70 Durbin Pavilion Dr Ste 112, St Johns, FL 32259 Phone: 904-325-7276
Dr. Kevin Tyrone Prince, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 205 Rivertown Shops Dr Ste 104, St Johns, FL 32259 Phone: 757-806-0180
Sarah Majed Ibrahim Al Nimri, Dentist Medicare: Not Enrolled in Medicare Practice Location: 90 Cypress Edge Dr, St Johns, FL 32259 Phone: 904-789-4025
Dr. Jill A Rowland, DDS Dentist Medicare: Medicare Enrolled Practice Location: 205 Rivertown Shops Dr # 104, St Johns, FL 32259 Phone: 904-621-6568
Joseph Gerard Chiafair, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 959 Bayside Bluff Rd, St Johns, FL 32259 Phone: 904-463-1952
Liset Rodriguez Barrero, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 60 Shops Blvd Ste 10, St Johns, FL 32259 Phone: 904-506-0156

Dr Arlene Canchola, DMD - Medicare Dentist in St Johns, FL