Carlos Manuel Espana, DDS in Bonita, CA - Medicare Dentist Provider

Carlos Manuel Espana, DDS is a medicare enrolled "Dentist - General Practice" provider in Bonita, California. His current practice location is 145 Willow St, #101, Bonita, California. You can reach out to his office (for appointments etc.) via phone at (619) 479-1942.

Carlos Manuel Espana is licensed to practice in California (license number 37658) 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 1508936709.

Contact Information

	Carlos Manuel Espana, DDS
	145 Willow St, #101, Bonita, CA 91902-1349
	(619) 479-1942
	(619) 479-1192

Map and Direction

Healthcare Provider's Profile

Full Name	Carlos Manuel Espana
Gender	Male
Speciality	Dentist - General Practice
Location	145 Willow St, Bonita, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508936709
Provider Enumeration Date: 11/08/2006
Last Update Date: 02/20/2023

Medicare PECOS Information:

PECOS PAC ID: 7618247537
Enrollment ID: I20230220000143

Medical Identifiers

Medical identifiers for Carlos Manuel Espana such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508936709	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	37658 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlos Manuel Espana allows following entities to bill medicare on his behalf.

Entity Name	Family Health Centers Of San Diego, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923

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. Carlos Manuel Espana 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
Carlos Manuel Espana, DDS 145 Willow St, #101, Bonita, CA 91902-1349 Ph: (619) 479-1942	Carlos Manuel Espana, DDS 145 Willow St, #101, Bonita, CA 91902-1349 Ph: (619) 479-1942

Reviews and Comments

Dentist in Bonita, CA

Dr. Francisco Mondragon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Otay Lakes Rd, Suite 206, Bonita, CA 91902 Phone: 619-475-8222
Sandhya Hegde, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4424 Bonita Rd, Bonita, CA 91902 Phone: 619-479-8703 Fax: 619-479-4115
Dr. Barzin Tom Massarat, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Otay Lakes Rd, Bonita, CA 91902 Phone: 619-479-6050
Dr. Edna Turla Concepcion, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1419 Country Vistas Ln, Bonita, CA 91902 Phone: 619-261-9636
Dr. Vitaliy Jacob Berger, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Otay Lakes Rd, 204, Bonita, CA 91902 Phone: 619-479-2111
Steven Gorgas Detsch, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4115 The Hill Rd, Bonita, CA 91902 Phone: 619-787-5690
Fabriel D Burquez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 180 Otay Lakes Rd, Ste210b, Bonita, CA 91902 Phone: 619-479-4457 Fax: 619-476-4827

Carlos Manuel Espana, DDS - Medicare Dentist in Bonita, CA