Katya Archambault, DMD in La Jolla, CA - Medicare Dentist Provider

Katya Archambault, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Radiology" provider in La Jolla, California. Her current practice location is 9245 Regents Rd Unit M208, La Jolla, California. You can reach out to her office (for appointments etc.) via phone at (310) 307-6623.

Katya Archambault is licensed to practice in California (license number DDS65278) 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 1700350485.

Contact Information

	Katya Archambault, DMD
	9245 Regents Rd Unit M208, La Jolla, CA 92037-9266
	(310) 307-6623
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katya Archambault
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Radiology
Location	9245 Regents Rd Unit M208, La Jolla, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700350485
Provider Enumeration Date: 01/16/2019
Last Update Date: 01/16/2019

Medicare PECOS Information:

PECOS PAC ID: 6002241676
Enrollment ID: I20200109001600

Medical Identifiers

Medical identifiers for Katya Archambault such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700350485	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223X0008X	Dentist - Oral And Maxillofacial Radiology	DDS65278 (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. Katya Archambault allows following entities to bill medicare on her behalf.

Entity Name	San Diego Dental Health Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386289478 PECOS PAC ID: 5193150761 Enrollment ID: O20200109001005

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. Katya Archambault 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
Katya Archambault, DMD 9245 Regents Rd Unit M208, La Jolla, CA 92037-9266 Ph: (310) 307-6623	Katya Archambault, DMD 9245 Regents Rd Unit M208, La Jolla, CA 92037-9266 Ph: (310) 307-6623

Reviews and Comments

Dentist in La Jolla, CA

Mrs. Katherine Anita Thomson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8950 Villa La Jolla Dr, A207, La Jolla, CA 92037 Phone: 858-452-2800 Fax: 858-452-3795
Dr. Marcelo Freire, D.D.S.,PH.D., D.MED. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4120 Capricorn Ln, La Jolla, CA 92037 Phone: 858-200-1846
Dr. Carli Simone Katz, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2702 Bordeaux Ave, La Jolla, CA 92037 Phone: 858-245-6885
Dr. Neni Diah Shriver, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7817 Ivanhoe Ave Ste 304, La Jolla, CA 92037 Phone: 858-456-4442 Fax: 858-456-4443
Lori J Nettleton, D D S INC Dentist Medicare: Not Enrolled in Medicare Practice Location: 8100 Paseo Del Ocaso, Suite A, La Jolla, CA 92037 Phone: 858-459-9772 Fax: 858-459-9774
Daniela Alejandra Palomar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8657 Villa La Jolla Dr Ste 211, La Jolla, CA 92037 Phone: 858-272-2260
Dr. John Frederick Weston, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 9850 Genesee Ave, Suite 620, La Jolla, CA 92037 Phone: 858-535-8300 Fax: 858-535-8309

Katya Archambault, DMD - Medicare Dentist in La Jolla, CA