Dr Gregory Dale Cebulla, DDS is a medicare enrolled "Dentist - General Practice" provider in Tokeland, Washington. His current practice location is
2373 Old Tokeland Rd, Tokeland, Washington. You can reach out to his office (for appointments etc.) via phone at
(360) 267-8103.
Dr Gregory Dale Cebulla is licensed to practice in Washington (license number DE00010391) 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 1679785463.
Healthcare Provider's Profile
| Full Name | Dr Gregory Dale Cebulla |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 2373 Old Tokeland Rd, Tokeland, Washington |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1679785463
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 4183050446
- Enrollment ID: I20200204002104
Medical Identifiers
Medical identifiers for Dr Gregory Dale Cebulla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679785463 | NPI | - | NPPES |
| 5051263 | Medicaid | WA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223G0001X | Dentist - General Practice | DE00010391 (Washington) | 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 Gregory Dale Cebulla 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 |
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Dr Gregory Dale Cebulla, DDS
Po Box 500,
Tokeland, WA 98590-0500
Ph: (360) 267-8103 | Dr Gregory Dale Cebulla, DDS
2373 Old Tokeland Rd,
Tokeland, WA 98590
Ph: (360) 267-8103 |
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