Dr John R Avila, DDS in La Porte, IN - Medicare Dentist Provider

Dr John R Avila, DDS is a medicare enrolled "Dentist - General Practice" provider in La Porte, Indiana. His current practice location is 400 Teegarden St, La Porte, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 326-0043.

Dr John R Avila is licensed to practice in Indiana (license number 12009519) 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 1952423840.

Contact Information

	Dr John R Avila, DDS
	400 Teegarden St, La Porte, IN 46350-3175
	(219) 326-0043
	(219) 326-8909

Map and Direction

Healthcare Provider's Profile

Full Name	Dr John R Avila
Gender	Male
Speciality	Dentist - General Practice
Location	400 Teegarden St, La Porte, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952423840
Provider Enumeration Date: 04/04/2007
Last Update Date: 03/08/2021

Medicare PECOS Information:

PECOS PAC ID: 7012224611
Enrollment ID: I20150915000921

Medical Identifiers

Medical identifiers for Dr John R Avila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952423840	NPI	-	NPPES
100375060	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	12009519 (Indiana)	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. Dr John R Avila allows following entities to bill medicare on his behalf.

Entity Name	Healthlinc Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1528262581 PECOS PAC ID: 7618929373 Enrollment ID: O20050210000929

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 John R Avila 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 John R Avila, DDS 2344 Cynthia Dr, Michigan City, IN 46360-9361 Ph: (219) 477-6082	Dr John R Avila, DDS 400 Teegarden St, La Porte, IN 46350-3175 Ph: (219) 326-0043

Reviews and Comments

Dentist in La Porte, IN

Dr. Valerie Martinsen Seifert, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1011 Michigan Ave, La Porte, IN 46350 Phone: 219-362-1101
Margaret Fox, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3550 W Johnson Rd, La Porte, IN 46350 Phone: 219-362-3730 Fax: 219-324-4273
Dr. Manogna Katakam, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Teegarden St, La Porte, IN 46350 Phone: 219-718-2708
James M. Vanes, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 1025 Indiana Ave, La Porte, IN 46350 Phone: 219-362-2529 Fax: 219-362-2189
Dr. Brian C. Fryar, DDS.,M.S.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1700 A St, La Porte, IN 46350 Phone: 219-362-5500
Vivienne Zhang, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 N. Madison St, La Porte, IN 46350 Phone: 219-380-0029
Dr. Dina Mamdouh Hussein, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Teegarden St, La Porte, IN 46350 Phone: 219-326-8909

Dr John R Avila, DDS - Medicare Dentist in La Porte, IN