Dr Cynthia Marion Peticolas, DMD - Medicare Dentist in Mill City, OR

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Dr Cynthia Marion Peticolas, DMD is a medicare enrolled "Dentist - General Practice" provider in Mill City, Oregon. Her current practice location is 548 S 1st Ave, Mill City, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 897-2353.

Dr Cynthia Marion Peticolas is licensed to practice in Oregon (license number 5986) 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 1134180714.

Contact Information

Dr Cynthia Marion Peticolas, DMD
548 S 1st Ave,
Mill City, OR 97360
(503) 897-2353
(503) 897-2354

Map and Direction




Healthcare Provider's Profile

Full NameDr Cynthia Marion Peticolas
GenderFemale
SpecialityDentist - General Practice
Location548 S 1st Ave, Mill City, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134180714
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 05/26/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8426378852
  • Enrollment ID: I20150526001390

Medical Identifiers

Medical identifiers for Dr Cynthia Marion Peticolas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134180714NPI-NPPES
265439MedicaidOR

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 5986 (Oregon)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 Cynthia Marion Peticolas 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 AddressPractice Location Address
Dr Cynthia Marion Peticolas, DMD
Po Box 260,
Mill City, OR 97360

Ph: (503) 897-2353		Dr Cynthia Marion Peticolas, DMD
548 S 1st Ave,
Mill City, OR 97360

Ph: (503) 897-2353

Reviews and Comments


Dentist in Mill City, OR


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.