Dr Amy Santimalapong, DDS is a medicare enrolled "Dentist" provider in Patton, California. Her current practice location is
3102 East Highland Ave, Patton, California. You can reach out to her office (for appointments etc.) via phone at
(909) 425-7000.
Dr Amy Santimalapong is licensed to practice in California (license number 38746) 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 1427098482.
Healthcare Provider's Profile
| Full Name | Dr Amy Santimalapong |
|---|
| Gender | Female |
|---|
| Speciality | Dentist |
|---|
| Location | 3102 East Highland Ave, Patton, California |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1427098482
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6800192741
- Enrollment ID: I20160302002600
Medical Identifiers
Medical identifiers for Dr Amy Santimalapong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427098482 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 38746 (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. Dr Amy Santimalapong allows following entities to bill medicare on her behalf.
| Entity Name | Department Of State Hospitals |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1124078704
PECOS PAC ID: 9638174238
Enrollment ID: O20081031000305 |
|---|
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 Amy Santimalapong 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 Amy Santimalapong, DDS
1600 9th Street, Room 205 Mailstop 2-3,
Sacramento, CA 95814-6414
Ph: (916) 654-2431 | Dr Amy Santimalapong, DDS
3102 East Highland Ave,
Patton, CA 92369
Ph: (909) 425-7000 |
Reviews and Comments