Dr Jose Carlos Daudt Polido, DDS in Los Angeles, CA

Dr Jose Carlos Daudt Polido, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Los Angeles, California. His current practice location is 4650 W Sunset Blvd, Ms# 116, Los Angeles, California. You can reach out to his office (for appointments etc.) via phone at (323) 361-2130.

Dr Jose Carlos Daudt Polido is licensed to practice in California (license number 39870) 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 1104912377.

Contact Information

	Dr Jose Carlos Daudt Polido, DDS
	4650 W Sunset Blvd, Ms# 116, Los Angeles, CA 90027-6062
	(323) 361-2130
	(323) 361-1090

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jose Carlos Daudt Polido
Gender	Male
Speciality	Dentist - Pediatric Dentistry
Location	4650 W Sunset Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104912377
Provider Enumeration Date: 10/05/2006
Last Update Date: 03/18/2013

Medicare PECOS Information:

PECOS PAC ID: 9830378629
Enrollment ID: I20110126000132

Medical Identifiers

Medical identifiers for Dr Jose Carlos Daudt Polido such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104912377	NPI	-	NPPES
D39870	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	39870 (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. Dr Jose Carlos Daudt Polido allows following entities to bill medicare on his behalf.

Entity Name	Childrens Hospital Los Angeles Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265530653 PECOS PAC ID: 0143126920 Enrollment ID: O20031211000522

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 Jose Carlos Daudt Polido 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 Jose Carlos Daudt Polido, DDS 6430 W Sunset Blvd, Suite 600, Los Angeles, CA 90028-7901 Ph: (323) 361-4116	Dr Jose Carlos Daudt Polido, DDS 4650 W Sunset Blvd, Ms# 116, Los Angeles, CA 90027-6062 Ph: (323) 361-2130

Reviews and Comments

Dentist in Los Angeles, CA

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Dr. Adrian Sanchez, Dentist Medicare: Not Enrolled in Medicare Practice Location: 6114 York Blvd, Suite C, Los Angeles, CA 90042 Phone: 323-255-6698
Dr. Bindu Vasudevan Pillai, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5207 Whittier Blvd, Los Angeles, CA 90022 Phone: 323-269-0266

Dr Jose Carlos Daudt Polido, DDS - Medicare Dentist in Los Angeles, CA