Dr Arlene Canchola, DMD in Monument, CO - Medicare Dentist Provider

Dr Arlene Canchola, DMD is a medicare enrolled "Dentist" provider in Monument, Colorado. Her current practice location is 3655 Mesa Top Dr, Monument, Colorado. You can reach out to her office (for appointments etc.) via phone at (562) 501-8791.

Dr Arlene Canchola is licensed to practice in Colorado (license number 00205147) 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 1881328979.

Contact Information

	Dr Arlene Canchola, DMD
	3655 Mesa Top Dr, Monument, CO 80132-7968
	(562) 501-8791
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Arlene Canchola
Gender	Female
Speciality	Dentist
Location	3655 Mesa Top Dr, Monument, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881328979
Provider Enumeration Date: 07/13/2022
Last Update Date: 07/29/2022

Medicare PECOS Information:

PECOS PAC ID: 1254717051
Enrollment ID: I20221003000297

Medical Identifiers

Medical identifiers for Dr Arlene Canchola such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881328979	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	107623 (California)	Secondary
122300000X	Dentist	00205147 (Colorado)	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 Arlene Canchola allows following entities to bill medicare on her behalf.

Entity Name	Peak Vista Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337

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 Arlene Canchola 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 Arlene Canchola, DMD 3655 Mesa Top Dr, Monument, CO 80132-7968 Ph: (562) 501-8791	Dr Arlene Canchola, DMD 3655 Mesa Top Dr, Monument, CO 80132-7968 Ph: (562) 501-8791

Reviews and Comments

Dentist in Monument, CO

Christopher Joseph Hasselback, DDS Dentist Medicare: Medicare Enrolled Practice Location: 556 Highway 105, Monument, CO 80132 Phone: 719-484-0043
Dr. Bradley Scott Burtwistle, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 325 2nd St Ste A, Monument, CO 80132 Phone: 719-481-4949 Fax: 719-481-4989
Dr. Paul Nolan Cardon, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 325 2nd St, Monument, CO 80132 Phone: 719-481-4949 Fax: 719-481-4989
Dr. Arlie Eugene Burnham Jr., D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 19415 Sherwood Trl, Monument, CO 80132 Phone: 719-649-1582 Fax: 719-526-4044
Dr. Lori Ann Lemaire, DDS Dentist Medicare: Medicare Enrolled Practice Location: 15 N Sherwood Gln, Monument, CO 80132 Phone: 719-487-4185
Dr. Rhiannon Deleon, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 Baptist Rd Ste 100, Monument, CO 80132 Phone: 719-481-5807
Dr. Jinseup Lim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 556 West Highway 105, Monument, CO 80132 Phone: 192-984-9907 Fax: 192-984-9907

Dr Arlene Canchola, DMD - Medicare Dentist in Monument, CO