Dr Juddy King-yo Lin, DMD is a medicare enrolled "Dentist" provider in Phillips Ranch, California. Her current practice location is
3080 W Temple Ave, Phillips Ranch, California. You can reach out to her office (for appointments etc.) via phone at
(909) 620-6066.
Dr Juddy King-yo Lin is licensed to practice in California (license number 54598) 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 1164554382.
Healthcare Provider's Profile
Full Name | Dr Juddy King-yo Lin |
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Gender | Female |
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Speciality | Dentist |
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Location | 3080 W Temple Ave, Phillips Ranch, 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: 1164554382
- Provider Enumeration Date: 03/12/2007
- Last Update Date: 11/28/2007
Medicare PECOS Information:
- PECOS PAC ID: 3971815119
- Enrollment ID: I20170915003163
Medical Identifiers
Medical identifiers for Dr Juddy King-yo Lin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164554382 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 54598 (California) | 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 Juddy King-yo Lin 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 Juddy King-yo Lin, DMD 3080 W Temple Ave, Phillips Ranch, CA 91766-6817 Ph: (909) 620-6066 | Dr Juddy King-yo Lin, DMD 3080 W Temple Ave, Phillips Ranch, CA 91766-6817 Ph: (909) 620-6066 |
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