Dyani Kalea Gaudilliere, DMD in Stanford, CA - Medicare Maxillofacial Surgery Provider

Dyani Kalea Gaudilliere, DMD is a medicare enrolled "Dentist" provider in Stanford, California. She went to Harvard School Of Dental Medicine and graduated in 2009 and has 15 years of diverse experience with area of expertise as Maxillofacial Surgery. She is a member of the group practice Stanford Health Care and her current practice location is 300 Pasteur Dr, Stanford, California. You can reach out to her office (for appointments etc.) via phone at (650) 723-4000.

Dyani Kalea Gaudilliere is licensed to practice in California (license number 60103) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992066104.

Contact Information

	Dyani Kalea Gaudilliere, DMD
	300 Pasteur Dr, Stanford, CA 94305-2200
	(650) 723-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dyani Kalea Gaudilliere
Gender	Female
Speciality	Maxillofacial Surgery
Experience	15 Years
Location	300 Pasteur Dr, Stanford, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dyani Kalea Gaudilliere attended and graduated from Harvard School Of Dental Medicine in 2009

NPI Data:

NPI Number: 1992066104
Provider Enumeration Date: 06/04/2012
Last Update Date: 04/27/2024

Medicare PECOS Information:

PECOS PAC ID: 9234380817
Enrollment ID: I20121107000372

Medical Identifiers

Medical identifiers for Dyani Kalea Gaudilliere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992066104	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	60103 (California)	Secondary
122300000X	Dentist	60103 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Stanford Health Care	Stanford, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Stanford Health Care	6709797491	2579

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. Dyani Kalea Gaudilliere allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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. Dyani Kalea Gaudilliere 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
Dyani Kalea Gaudilliere, DMD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000	Dyani Kalea Gaudilliere, DMD 300 Pasteur Dr, Stanford, CA 94305-2200 Ph: (650) 723-4000

Reviews and Comments

Dentist in Stanford, CA

Audrey Jung-sun Yoon, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Dr. Yogin K. Patel, DMD Dentist Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Franco Ernesto Hernandez, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Prof. Sabine C Girod, MD, DDS, PHD Dentist Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-5824
Zahid H Ahmed, DDS Dentist Medicare: Medicare Enrolled Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Catherine Lee, DDS Dentist Medicare: Accepting Medicare Assignments Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000
Susanne Merle Carpenter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 300 Pasteur Dr, Stanford, CA 94305 Phone: 650-723-4000

Dyani Kalea Gaudilliere, DMD - Medicare Dentist in Stanford, CA