Homer Gary Ketcherside, DDS,MS in Corona, CA

Homer Gary Ketcherside, DDS,MS is a medicare enrolled "Dentist - Orthodontics And Dentofacial Orthopedics" provider in Corona, California. His current practice location is 720 Magnolia Ave, Suite A1, Corona, California. You can reach out to his office (for appointments etc.) via phone at (951) 737-3800.

Homer Gary Ketcherside is licensed to practice in California (license number 28872) 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 1043570658.

Contact Information

	Homer Gary Ketcherside, DDS,MS
	720 Magnolia Ave, Suite A1, Corona, CA 92879-3119
	(951) 737-3800
	(951) 737-3937

Map and Direction

Healthcare Provider's Profile

Full Name	Homer Gary Ketcherside
Gender	Male
Speciality	Dentist - Orthodontics And Dentofacial Orthopedics
Location	720 Magnolia Ave, Corona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043570658
Provider Enumeration Date: 05/17/2012
Last Update Date: 07/22/2013

Medicare PECOS Information:

PECOS PAC ID: 9739491499
Enrollment ID: I20150709000041

Medical Identifiers

Medical identifiers for Homer Gary Ketcherside such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043570658	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	28872 (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. Homer Gary Ketcherside 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
Homer Gary Ketcherside, DDS,MS 720 Magnolia Ave, Suite A1, Corona, CA 92879-3119 Ph: (951) 737-3802	Homer Gary Ketcherside, DDS,MS 720 Magnolia Ave, Suite A1, Corona, CA 92879-3119 Ph: (951) 737-3800

Reviews and Comments

Dentist in Corona, CA

Dr. Allen Fari, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 914 Washburn Ave Ste 5, Corona, CA 92882 Phone: 951-735-2112
Dr. Radhika Makadia, D.M.D., B.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8387 Butterfly Bush Ct, Corona, CA 92883 Phone: 951-403-3325
Alia Meagan Kabbara, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 3848 N Mckinley St, Corona, CA 92879 Phone: 951-371-2424
Ai-quan Duong, Dentist Medicare: Not Enrolled in Medicare Practice Location: 131 W Ontario Ave Ste 102, Corona, CA 92882 Phone: 951-898-0118
Mrs. Rouhi Beizai, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1307 W 6th St, Ste 113, Corona, CA 92882 Phone: 951-278-8910 Fax: 951-278-9895
Vishwa Bhatt, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 260 E Ontario Ave Ste 102, Corona, CA 92879 Phone: 951-278-9000
Dr. John K Pearson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 910 Washburn Ave, Suite E, Corona, CA 92882 Phone: 951-737-5861 Fax: 951-737-5864

Homer Gary Ketcherside, DDS,MS - Medicare Dentist in Corona, CA