Dr Clarissa Y De Castro, DDS is a medicare enrolled "Dentist" provider in Lost Hills, California. Her current practice location is
21138 Paso Robles Hwy, Lost Hills, California. You can reach out to her office (for appointments etc.) via phone at
(661) 797-2667.
Dr Clarissa Y De Castro is licensed to practice in California (license number 55693) 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 1952507600.
Healthcare Provider's Profile
| Full Name | Dr Clarissa Y De Castro |
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| Gender | Female |
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| Speciality | Dentist |
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| Location | 21138 Paso Robles Hwy, Lost Hills, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1952507600
- Provider Enumeration Date: 06/21/2007
- Last Update Date: 01/25/2012
Medicare PECOS Information:
- PECOS PAC ID: 1153641485
- Enrollment ID: I20150527002350
Medical Identifiers
Medical identifiers for Dr Clarissa Y De Castro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952507600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 122300000X | Dentist | 55693 (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 Clarissa Y De Castro allows following entities to bill medicare on her behalf.
| Entity Name | Omni Family Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700891660
PECOS PAC ID: 9234176363
Enrollment ID: O20050411000986 |
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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 Clarissa Y De Castro 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 Clarissa Y De Castro, DDS
659 S Central Valley Hwy,
Shafter, CA 93263-2790
Ph: (661) 459-1900 | Dr Clarissa Y De Castro, DDS
21138 Paso Robles Hwy,
Lost Hills, CA 93249
Ph: (661) 797-2667 |
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