Dr Marlice Arcangel Patam, DDS, MD - Medicare Dentist in South Pasadena, CA

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Dr Marlice Arcangel Patam, DDS, MD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in South Pasadena, California. Her current practice location is 1115 Montrose Ave, South Pasadena, California. You can reach out to her office (for appointments etc.) via phone at (626) 394-4946.

Dr Marlice Arcangel Patam is licensed to practice in California (license number 42757) 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 1730203712.

Contact Information

Dr Marlice Arcangel Patam, DDS, MD
1115 Montrose Ave,
South Pasadena, CA 91030-3435
(626) 394-4946
(626) 296-2779

Map and Direction




Healthcare Provider's Profile

Full NameDr Marlice Arcangel Patam
GenderFemale
SpecialityDentist - Oral And Maxillofacial Surgery
Location1115 Montrose Ave, South Pasadena, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1730203712
  • Provider Enumeration Date: 03/16/2007
  • Last Update Date: 09/23/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3577847938
  • Enrollment ID: I20170530001360

Medical Identifiers

Medical identifiers for Dr Marlice Arcangel Patam such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730203712NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223S0112XDentist - Oral And Maxillofacial Surgery 42757 (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 Marlice Arcangel Patam allows following entities to bill medicare on her behalf.
Entity NameRouhani And Khabbaz Dental Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497020119
PECOS PAC ID: 0648592667
Enrollment ID: O20141202002165
Entity NameArkady Tsibel Dds Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922653096
PECOS PAC ID: 8022445998
Enrollment ID: O20200305002301
Entity NameTsibel Dental Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851589329
PECOS PAC ID: 6800224668
Enrollment ID: O20200310002794
Entity NameTsibel Dental Practice Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053893271
PECOS PAC ID: 1557604931
Enrollment ID: O20200311000565

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 Marlice Arcangel Patam 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 AddressPractice Location Address
Dr Marlice Arcangel Patam, DDS, MD
1115 Montrose Ave,
South Pasadena, CA 91030-3435

Ph: (626) 394-4946		Dr Marlice Arcangel Patam, DDS, MD
1115 Montrose Ave,
South Pasadena, CA 91030-3435

Ph: (626) 394-4946

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.