Dr Kimberly N/a Centeno, DDS is a medicare enrolled "Dentist" provider in Dunsmuir, California. Her current practice location is
4307 Stagecoach Rd, Dunsmuir, California. You can reach out to her office (for appointments etc.) via phone at
(530) 235-2531.
Dr Kimberly N/a Centeno is licensed to practice in California (license number 52457) 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 1609971811.
Healthcare Provider's Profile
| Full Name | Dr Kimberly N/a Centeno |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 4307 Stagecoach Rd, Dunsmuir, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1609971811
- Provider Enumeration Date: 09/13/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597060442
- Enrollment ID: I20160301002591
Medical Identifiers
Medical identifiers for Dr Kimberly N/a Centeno such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609971811 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 52457 (California) | 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 Kimberly N/a Centeno 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 Kimberly N/a Centeno, DDS
4307 Stagecoach Rd,
Dunsmuir, CA 96025-1812
Ph: (530) 235-2531 | Dr Kimberly N/a Centeno, DDS
4307 Stagecoach Rd,
Dunsmuir, CA 96025-1812
Ph: (530) 235-2531 |
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