Dr Diane E Allen, DDS is a medicare enrolled "Dentist - General Practice" provider in Shasta Lake, California. Her current practice location is
4340 Shasta Dam Blvd, Shasta Lake, California. You can reach out to her office (for appointments etc.) via phone at
(530) 275-3077.
Dr Diane E Allen is licensed to practice in California (license number 26802) 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 1457337248.
Healthcare Provider's Profile
Full Name | Dr Diane E Allen |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 4340 Shasta Dam Blvd, Shasta Lake, California |
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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: 1457337248
- Provider Enumeration Date: 12/22/2005
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5597060954
- Enrollment ID: I20160223000484
Medical Identifiers
Medical identifiers for Dr Diane E Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457337248 | NPI | - | NPPES |
26802 | Other | CA | LICENSE NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 26802 (California) | 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 Diane E Allen 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 Diane E Allen, DDS 4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420 Ph: (530) 275-3077 | Dr Diane E Allen, DDS 4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420 Ph: (530) 275-3077 |
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