Dr Edgardo Fajardo Enriquez, DDS is a medicare enrolled "Dentist" provider in Fairfield, Pennsylvania. His current practice location is
34 Steelman Street, Fairfield, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(717) 642-8168.
Dr Edgardo Fajardo Enriquez is licensed to practice in Pennsylvania (license number DS-026429-L) 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 1659417822.
Healthcare Provider's Profile
Full Name | Dr Edgardo Fajardo Enriquez |
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Gender | Male |
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Speciality | Dentist |
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Location | 34 Steelman Street, Fairfield, Pennsylvania |
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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: 1659417822
- Provider Enumeration Date: 01/29/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 7911219258
- Enrollment ID: I20150630000652
Medical Identifiers
Medical identifiers for Dr Edgardo Fajardo Enriquez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659417822 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | DS-026429-L (Pennsylvania) | 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 Edgardo Fajardo Enriquez 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 Edgardo Fajardo Enriquez, DDS 34 Steelman Street, Po Box 268, Fairfield, PA 17320 Ph: (717) 642-8168 | Dr Edgardo Fajardo Enriquez, DDS 34 Steelman Street, Fairfield, PA 17320 Ph: (717) 642-8168 |
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