Dr Peter Chidyllo, DDS is a medicare enrolled "Dentist - General Practice" provider in Wallkill, New York. His current practice location is
46 Wallkill Ave, Wallkill, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 895-2200.
Dr Peter Chidyllo is licensed to practice in New York (license number 33611) 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 1821115379.
Healthcare Provider's Profile
| Full Name | Dr Peter Chidyllo |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 46 Wallkill Ave, Wallkill, New York |
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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: 1821115379
- Provider Enumeration Date: 03/22/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0840595658
- Enrollment ID: I20160216001568
Medical Identifiers
Medical identifiers for Dr Peter Chidyllo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821115379 | NPI | - | NPPES |
| 10035221 | Other | NY | CDPHP |
| 00493912 | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 33611 (New York) | 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 Peter Chidyllo 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 Peter Chidyllo, DDS
Po Box 416,
Wallkill, NY 12589-0416
Ph: (845) 895-2200 | Dr Peter Chidyllo, DDS
46 Wallkill Ave,
Wallkill, NY 12589
Ph: (845) 895-2200 |
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