M A C T Health Board, Incorporated is a
Dentist based in San Andreas, California. M A C T Health Board, Incorporated is licensed to practice in * (Not Available) (license number ) and their current practice location is
1113a Highway 49, San Andreas, California. It can be reached at their office (for appointments etc.) via phone at
(209) 755-1460.
NPI number for M A C T Health Board, Incorporated is 1528508488 and their current mailing address is Po Box 939, Angels Camp, California. M A C T Health Board, Incorporated
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1528508488.
Healthcare Provider's Profile
| Full Name | M A C T Health Board, Incorporated |
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| Type | Facility |
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| Speciality | Dentist |
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| Location | 1113a Highway 49, San Andreas, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1528508488
- Provider Enumeration Date: 02/27/2017
- Last Update Date: 11/17/2022
Medical Identifiers
Medical identifiers for M A C T Health Board, Incorporated such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528508488 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 122300000X | Dentist | (* (Not Available)) | 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. M A C T Health Board, Incorporated is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
M A C T Health Board, Incorporated
Po Box 939,
Angels Camp, CA 95222-0939
Ph: (209) 754-6262 | M A C T Health Board, Incorporated
1113a Highway 49,
San Andreas, CA 95249
Ph: (209) 755-1460 |
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