Adrien Lancelot Charles-marcel, DDS, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" provider in Loma Linda, California. His current practice location is
25455 Barton Rd Ste 209b, Loma Linda, California. You can reach out to his office (for appointments etc.) via phone at
(410) 706-4010.
Adrien Lancelot Charles-marcel is licensed to practice in * (Not Available) (license number ) 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 1801389184.
Healthcare Provider's Profile
Full Name | Adrien Lancelot Charles-marcel |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 25455 Barton Rd Ste 209b, Loma Linda, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801389184
- Provider Enumeration Date: 06/11/2018
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 5092053348
- Enrollment ID: I20190212000173
Medical Identifiers
Medical identifiers for Adrien Lancelot Charles-marcel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801389184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 103637 (California) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (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. Adrien Lancelot Charles-marcel 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 |
Adrien Lancelot Charles-marcel, DDS, MD Llusd Dept. Of Oral & Maxillofacial Surgery Room 3306, 11092 Anderson Street, Loma Linda, CA 92350-0001 Ph: (909) 558-4671 | Adrien Lancelot Charles-marcel, DDS, MD 25455 Barton Rd Ste 209b, Loma Linda, CA 92354-3177 Ph: (410) 706-4010 |
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