Dr Kimberly Centeno, DDS - Medicare Dentist in Mount Shasta, CA

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Dr Kimberly Centeno, DDS is a medicare enrolled "Dentist" provider in Mount Shasta, California. Her current practice location is 407 Pine St, Mount Shasta, California. You can reach out to her office (for appointments etc.) via phone at (530) 918-9055.

Dr Kimberly 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.

Contact Information

Dr Kimberly Centeno, DDS
407 Pine St,
Mount Shasta, CA 96067
(530) 918-9055
(530) 918-9059

Map and Direction




Healthcare Provider's Profile

Full NameDr Kimberly Centeno
GenderFemale
SpecialityDentist
Location407 Pine St, Mount Shasta, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1609971811
  • Provider Enumeration Date: 09/13/2006
  • Last Update Date: 03/11/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 5597060442
  • Enrollment ID: I20160301002591

Medical Identifiers

Medical identifiers for Dr Kimberly Centeno such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1609971811NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 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 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 AddressPractice Location Address
Dr Kimberly Centeno, DDS
407 Pine St,
Mount Shasta, CA 96067

Ph: (530) 918-9055		Dr Kimberly Centeno, DDS
407 Pine St,
Mount Shasta, CA 96067

Ph: (530) 918-9055

Reviews and Comments


Dentist in Mount Shasta, CA

Dr. Christopher Carney, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 611 S A St, Mount Shasta, CA 96067
Phone: 530-926-2415    
Kevin Shearer, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 701 Pine St, Mount Shasta, CA 96067
Phone: 530-926-6333    
Jefferey Szean Lee, D.D.S
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 705 S A St, Mount Shasta, CA 96067
Phone: 530-926-5296    Fax: 530-926-0520

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.