Dr Camilo Machado, DDS, MS is a medicare enrolled "Dentist" provider in St. Clair Shores, Michigan. His current practice location is
31315 Harper Avenuw, St. Clair Shores, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 293-3434.
Dr Camilo Machado is licensed to practice in Michigan (license number 1710025499) 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 1710025499.
Healthcare Provider's Profile
Full Name | Dr Camilo Machado |
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Gender | Male |
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Speciality | Dentist |
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Location | 31315 Harper Avenuw, St. Clair Shores, Michigan |
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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: 1710025499
- Provider Enumeration Date: 02/02/2007
- Last Update Date: 11/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 0547551905
- Enrollment ID: I20160615002377
Medical Identifiers
Medical identifiers for Dr Camilo Machado such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710025499 | NPI | - | NPPES |
71000189 | Other | OH | OHIO STATE LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223P0700X | Dentist - Prosthodontics | 71-000189 (Ohio) | Secondary |
122300000X | Dentist | 1710025499 (Michigan) | 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 Camilo Machado 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 Camilo Machado, DDS, MS 31315 Harper Avenue, St. Clair Shores, MI 48082 Ph: (586) 293-3434 | Dr Camilo Machado, DDS, MS 31315 Harper Avenuw, St. Clair Shores, MI 48082 Ph: (586) 293-3434 |
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