Dr Duane K Yamashiro, DDS,MS in Salt Lake City, UT

Dr Duane K Yamashiro, DDS,MS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Salt Lake City, Utah. His current practice location is 100 N Medical Dr, Ste 3575, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 662-3930.

Dr Duane K Yamashiro is licensed to practice in Utah (license number 141853-9921) 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 1629275151.

Contact Information

	Dr Duane K Yamashiro, DDS,MS
	100 N Medical Dr, Ste 3575, Salt Lake City, UT 84113-1103
	(801) 662-3930
	(801) 662-3933

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Duane K Yamashiro
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	100 N Medical Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629275151
Provider Enumeration Date: 06/28/2007
Last Update Date: 12/20/2021

Medicare PECOS Information:

PECOS PAC ID: 8325279292
Enrollment ID: I20140319000620

Medical Identifiers

Medical identifiers for Dr Duane K Yamashiro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1629275151	NPI	-	NPPES
112651200	Medicaid	WY
805165800	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	141853-9921 (Utah)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	141853 (Utah)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	141853-9921 (Utah)	Primary
1223X0400X	Dentist - Orthodontics And Dentofacial Orthopedics	141853 (Utah)	Secondary

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 Duane K Yamashiro allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Dental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346633203 PECOS PAC ID: 0244542595 Enrollment ID: O20150630001141

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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 Duane K Yamashiro 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 Duane K Yamashiro, DDS,MS 100 Mario Capecchi Dr, Ste 3575, Salt Lake City, UT 84113-1103 Ph: (801) 662-3930	Dr Duane K Yamashiro, DDS,MS 100 N Medical Dr, Ste 3575, Salt Lake City, UT 84113-1103 Ph: (801) 662-3930

Reviews and Comments

Dentist in Salt Lake City, UT

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Dr Duane K Yamashiro, DDS,MS - Medicare Dentist in Salt Lake City, UT