Dr Gwendelyn De Guzman Enriquez, DMD is a medicare enrolled "Dentist - General Practice" provider in Angels Camp, California. Her current practice location is
52 S Main St Ste B, Angels Camp, California. You can reach out to her office (for appointments etc.) via phone at
(209) 674-6181.
Dr Gwendelyn De Guzman Enriquez is licensed to practice in California (license number 47884) 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 1588709547.
Healthcare Provider's Profile
Full Name | Dr Gwendelyn De Guzman Enriquez |
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Gender | Female |
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Speciality | Dentist - General Practice |
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Location | 52 S Main St Ste B, Angels Camp, 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: 1588709547
- Provider Enumeration Date: 02/20/2007
- Last Update Date: 02/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113399528
- Enrollment ID: I20230213001812
Medical Identifiers
Medical identifiers for Dr Gwendelyn De Guzman Enriquez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588709547 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 47884 (California) | Primary |
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 Gwendelyn De Guzman Enriquez allows following entities to bill medicare on her behalf.
Entity Name | M A C T Health Board Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366519431 PECOS PAC ID: 8325936974 Enrollment ID: O20040305001143 |
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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 Gwendelyn De Guzman 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 Gwendelyn De Guzman Enriquez, DMD Po Box 939, Angels Camp, CA 95222-0939 Ph: () - | Dr Gwendelyn De Guzman Enriquez, DMD 52 S Main St Ste B, Angels Camp, CA 95222-9153 Ph: (209) 674-6181 |
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