Corey Paul Yamashita Paulino, DMD in Fort Campbell, KY

Corey Paul Yamashita Paulino, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Fort Campbell, Kentucky. His current practice location is 650 Joel Dr, Fort Campbell, Kentucky. You can reach out to his office (for appointments etc.) via phone at (808) 438-4131.

Corey Paul Yamashita Paulino is licensed to practice in Tennessee (license number 11643) 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 1306299037.

Contact Information

	Corey Paul Yamashita Paulino, DMD
	650 Joel Dr, Fort Campbell, KY 42223-5318
	(808) 438-4131
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Corey Paul Yamashita Paulino
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	650 Joel Dr, Fort Campbell, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1306299037
Provider Enumeration Date: 07/18/2016
Last Update Date: 10/07/2024

Medicare PECOS Information:

PECOS PAC ID: 2163953654
Enrollment ID: I20241008004019

Medical Identifiers

Medical identifiers for Corey Paul Yamashita Paulino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306299037	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	11643 (Tennessee)	Secondary
122300000X	Dentist	100399 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	11643 (Tennessee)	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. Corey Paul Yamashita Paulino allows following entities to bill medicare on his behalf.

Entity Name	Oral Surgical Institute Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144298050 PECOS PAC ID: 5092799031 Enrollment ID: O20040616000881

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. Corey Paul Yamashita Paulino 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
Corey Paul Yamashita Paulino, DMD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: () -	Corey Paul Yamashita Paulino, DMD 650 Joel Dr, Fort Campbell, KY 42223-5318 Ph: (808) 438-4131

Reviews and Comments

Dentist in Fort Campbell, KY

Dr. Duke Phu Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223 Phone: 270-412-8547
Dr. Christopher Oscar Torres, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2441 21st St, Usa Dentac, Fort Campbell, KY 42223 Phone: 270-798-8614 Fax: 270-798-8614
Ashley Marie Dimeo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6145 Desert Storm Ave, Fort Campbell, KY 42223 Phone: 270-412-2787
Dr. James Edmund Albritton Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223 Phone: 270-798-8614 Fax: 270-798-8633
Dr. William Edgar Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 Phone: 270-798-8751 Fax: 270-956-0266
Dr. Eric Joseph Setter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2441 21st St, Fort Campbell, KY 42223 Phone: 270-798-5429
Jarred Lloyd Price, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2441 21st St, Fort Campbell, KY 42223 Phone: 707-988-7512

Corey Paul Yamashita Paulino, DMD - Medicare Dentist in Fort Campbell, KY