Dr Johnny Cardona Cavazos, DDS is a medicare enrolled "Dentist - General Practice" provider in Zapata, Texas. His current practice location is
409 Hidalgo Ave, Zapata, Texas. You can reach out to his office (for appointments etc.) via phone at
(956) 765-4400.
Dr Johnny Cardona Cavazos is licensed to practice in Texas (license number 17649) 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 1003921115.
Healthcare Provider's Profile
Full Name | Dr Johnny Cardona Cavazos |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 409 Hidalgo Ave, Zapata, Texas |
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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: 1003921115
- Provider Enumeration Date: 08/20/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4587981659
- Enrollment ID: I20150330001215
Medical Identifiers
Medical identifiers for Dr Johnny Cardona Cavazos such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003921115 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 17649 (Texas) | 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 Johnny Cardona Cavazos 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 Johnny Cardona Cavazos, DDS 409 Hidalgo Ave, P O Box 465, Zapata, TX 78076-0465 Ph: (956) 765-4400 | Dr Johnny Cardona Cavazos, DDS 409 Hidalgo Ave, Zapata, TX 78076-0465 Ph: (956) 765-4400 |
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