Dr Lesa Rae Woodson, DDS in Elk Grove, CA - Medicare Dentist Provider

Dr Lesa Rae Woodson, DDS is a medicare enrolled "Dentist" provider in Elk Grove, California. Her current practice location is 2400 Maritime Dr, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (916) 686-8914.

Dr Lesa Rae Woodson is licensed to practice in California (license number 59194) 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 1063549228.

Contact Information

	Dr Lesa Rae Woodson, DDS
	2400 Maritime Dr, Elk Grove, CA 95758-3660
	(916) 686-8914
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Lesa Rae Woodson
Gender	Female
Speciality	Dentist
Location	2400 Maritime Dr, Elk Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063549228
Provider Enumeration Date: 02/27/2007
Last Update Date: 10/27/2023

Medicare PECOS Information:

PECOS PAC ID: 1658691795
Enrollment ID: I20150513001633

Medical Identifiers

Medical identifiers for Dr Lesa Rae Woodson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063549228	NPI	-	NPPES
1856088	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	59194 (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 Lesa Rae Woodson 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 Lesa Rae Woodson, DDS 10259 Pedra Do Sol Ct, Elk Grove, CA 95757-3475 Ph: (916) 936-5154	Dr Lesa Rae Woodson, DDS 2400 Maritime Dr, Elk Grove, CA 95758-3660 Ph: (916) 686-8914

Reviews and Comments

Dentist in Elk Grove, CA

Ms. Ma. Loida Serrano Leyba, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 8696 Elk Grove Blvd, Suite # 8, Elk Grove, CA 95624 Phone: 916-685-5244 Fax: 916-685-1483
Dr. Mohamed Soliman, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9015 Bruceville Rd Ste 130, Elk Grove, CA 95758 Phone: 916-683-5732
David Steinberg, Dentist Medicare: Not Enrolled in Medicare Practice Location: 9565 Laguna Springs Dr, Elk Grove, CA 95758 Phone: 916-683-7645
Kwan Ho Yun, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5010 Laguna Blvd Ste 101, Elk Grove, CA 95758 Phone: 916-442-7873
Dr. Marc Weisman, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9272 Laguna Springs Dr Ste G2-327, California Department Of Corrections And Rehabilitation, Elk Grove, CA 95758 Phone: 916-691-0239
Dr. Morteza Beheshtian, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 8170 Laguna Blvd, #300, Elk Grove, CA 95758 Phone: 916-683-2000 Fax: 916-683-2003
Dr. Christy Kimbrough Rollofson, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 9727 Elk Grove Florin Road, Suite 270, Elk Grove, CA 95624 Phone: 916-685-2105 Fax: 916-714-1142

Dr Lesa Rae Woodson, DDS - Medicare Dentist in Elk Grove, CA