Ricuccio A Negom, DDS - Medicare Dentist in San Luis Obispo, CA

Ricuccio A Negom, DDS is a medicare enrolled "Dentist" provider in San Luis Obispo, California. His current practice location is 735 Tank Farm Rd Ste 170, San Luis Obispo, California. You can reach out to his office (for appointments etc.) via phone at (805) 549-9000.

Ricuccio A Negom is licensed to practice in California (license number 55065) 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 1124208152.

Contact Information

Ricuccio A Negom, DDS
735 Tank Farm Rd Ste 170,
San Luis Obispo, CA 93401-7071
(805) 549-9000
(805) 549-9004

Map and Direction




Healthcare Provider's Profile

Full NameRicuccio A Negom
GenderMale
SpecialityDentist
Location735 Tank Farm Rd Ste 170, San Luis Obispo, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1124208152
  • Provider Enumeration Date: 11/07/2007
  • Last Update Date: 03/12/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 1759660715
  • Enrollment ID: I20161115000320

Medical Identifiers

Medical identifiers for Ricuccio A Negom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124208152NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 55065 (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. Ricuccio A Negom 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
Ricuccio A Negom, DDS
735 Tank Farm Rd Ste 170,
San Luis Obispo, CA 93401-7071

Ph: (805) 549-9000
Ricuccio A Negom, DDS
735 Tank Farm Rd Ste 170,
San Luis Obispo, CA 93401-7071

Ph: (805) 549-9000

Reviews and Comments


Dentist in San Luis Obispo, CA

Dr. James A Forester, DDS
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Phone: 805-592-2020    Fax: 805-592-2022
Dr. Rachel Eulenberg Williams, DDS
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Phone: 805-592-2020    Fax: 805-592-2022
Dr. Wesley Earl Armstrong, D.D.S.
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Practice Location: 1486 Palm St, San Luis Obispo, CA 93401
Phone: 805-543-8675    Fax: 805-543-8696
Dr. Cole Woodland, DMD
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Phone: 805-868-9249    
Apurva Sharma,
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Phone: 805-202-4988    
Dr. Bradley Milde, D.M.D., D.H.SC.
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Medicare: Not Enrolled in Medicare
Practice Location: 1223 Higuera St, Suite #201, San Luis Obispo, CA 93401
Phone: 805-541-3411    

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.