Cassondra Lynne Palacios, DMD is a medicare enrolled "Dentist - General Practice" provider in Banks, Oregon. Her current practice location is
15780 Nw Harrys Pl, Banks, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 593-9599.
Cassondra Lynne Palacios is licensed to practice in Oregon (license number D10086) 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 1588071666.
Healthcare Provider's Profile
Full Name | Cassondra Lynne Palacios |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 15780 Nw Harrys Pl, Banks, Oregon |
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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: 1588071666
- Provider Enumeration Date: 07/21/2014
- Last Update Date: 10/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991014938
- Enrollment ID: I20151014001918
Medical Identifiers
Medical identifiers for Cassondra Lynne Palacios such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588071666 | NPI | - | NPPES |
500676171 | Medicaid | OR | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | D10086 (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. Cassondra Lynne Palacios 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 |
Cassondra Lynne Palacios, DMD 15780 Nw Harrys Pl, Banks, OR 97106-8419 Ph: (503) 593-9599 | Cassondra Lynne Palacios, DMD 15780 Nw Harrys Pl, Banks, OR 97106-8419 Ph: (503) 593-9599 |
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