Alice Kamo Shoemaker, DDS is a
Dentist based in La Selva Beach, California. Alice Kamo Shoemaker is licensed to practice in California (license number 32764) and her current practice location is
167 El Pinar, La Selva Beach, California. She can be reached at her office (for appointments etc.) via phone at
(831) 684-1417.
NPI number for Alice Kamo Shoemaker is 1386822302 and her current mailing address is 167 El Pinar, La Selva Beach, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1386822302.
Healthcare Provider's Profile
Full Name | Alice Kamo Shoemaker |
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Gender | Female |
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Speciality | Dentist |
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Location | 167 El Pinar, La Selva Beach, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1386822302
- Provider Enumeration Date: 01/31/2008
- Last Update Date: 01/31/2008
Medical Identifiers
Medical identifiers for Alice Kamo Shoemaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1386822302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 32764 (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. Alice Kamo Shoemaker 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 |
Alice Kamo Shoemaker, DDS 167 El Pinar, La Selva Beach, CA 95076-1509 Ph: (831) 684-1417 | Alice Kamo Shoemaker, DDS 167 El Pinar, La Selva Beach, CA 95076-1509 Ph: (831) 684-1417 |
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