Dr Amandeep Bhullar, DMD is a medicare enrolled "Clinic/center - Dental" provider in San Jose, California. His current practice location is
1660 Willow St Ste 7, San Jose, California. You can reach out to his office (for appointments etc.) via phone at
(408) 677-6811.
Dr Amandeep Bhullar is licensed to practice in California (license number 55373) 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 1659881100.
Healthcare Provider's Profile
Full Name | Dr Amandeep Bhullar |
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Gender | Male |
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Speciality | Clinic/center - Dental |
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Location | 1660 Willow St Ste 7, San Jose, California |
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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: 1659881100
- Provider Enumeration Date: 10/10/2017
- Last Update Date: 10/15/2018
Medicare PECOS Information:
- PECOS PAC ID: 4486997624
- Enrollment ID: I20190510000361
Medical Identifiers
Medical identifiers for Dr Amandeep Bhullar such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659881100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 55373 (California) | Secondary |
261QD0000X | Clinic/center - Dental | 55373 (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. Dr Amandeep Bhullar 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 |
Dr Amandeep Bhullar, DMD 1660 Willow St Ste 7, San Jose, CA 95125-5101 Ph: (408) 677-6811 | Dr Amandeep Bhullar, DMD 1660 Willow St Ste 7, San Jose, CA 95125-5101 Ph: (408) 677-6811 |
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