Candace L Peterson, DMD in Tualatin, OR - Medicare Dentist Provider

Candace L Peterson, DMD is a medicare enrolled "Dentist - General Practice" provider in Tualatin, Oregon. Her current practice location is 18795 Sw Boones Ferry Rd, Tualatin, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 691-9046.

Candace L Peterson is licensed to practice in Oregon (license number 6101) 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 1780682526.

Contact Information

	Candace L Peterson, DMD
	18795 Sw Boones Ferry Rd, Tualatin, OR 97062-8412
	(503) 691-9046
	(503) 692-7229

Map and Direction

Healthcare Provider's Profile

Full Name	Candace L Peterson
Gender	Female
Speciality	Dentist - General Practice
Location	18795 Sw Boones Ferry Rd, Tualatin, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780682526
Provider Enumeration Date: 07/13/2005
Last Update Date: 03/04/2015

Medicare PECOS Information:

PECOS PAC ID: 0547588907
Enrollment ID: I20150414002584

Medical Identifiers

Medical identifiers for Candace L Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780682526	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	6101 (Oregon)	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. Candace L Peterson 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
Candace L Peterson, DMD 18795 Sw Boones Ferry Rd, Tualatin, OR 97062-6807 Ph: (503) 691-9046	Candace L Peterson, DMD 18795 Sw Boones Ferry Rd, Tualatin, OR 97062-8412 Ph: (503) 691-9046

Reviews and Comments

Dentist in Tualatin, OR

Fred Fischer, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8375 Sw Warm Springs St, Tualatin, OR 97062 Phone: 503-885-8899
Dr. Edward D Lacy, D.M.D., P.C. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8220 Sw Warm Springs St, Suite 200, Tualatin, OR 97062 Phone: 503-692-0337 Fax: 503-692-0792
Dr. Danny A Sadakah, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 18773 Sw Martinazzi Ave, Tualatin, OR 97062 Phone: 503-869-4539
Dr. Austin Charles Todd, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7017 Sw Nyberg St Ste P-46, Tualatin, OR 97062 Phone: 972-974-5602
Pari Samani, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 8375 Sw Warm Springs St, Tualatin, OR 97062 Phone: 503-885-8899
Dr. Drew Thomas Herion, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19255 Sw 65th Ave, Suite 230, Tualatin, OR 97062 Phone: 503-691-9970 Fax: 503-691-9925
Dr. Travis R Evans, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 8225 Sw Tualatin Sherwood Rd, Tualatin, OR 97062 Phone: 503-692-9386 Fax: 503-612-9437

Candace L Peterson, DMD - Medicare Dentist in Tualatin, OR