Dr Ma Rosario Gutierrez Exconde, DDS in Vallejo, CA

Dr Ma Rosario Gutierrez Exconde, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Vallejo, California. Her current practice location is 133 Plaza Dr, Suite R, Vallejo, California. You can reach out to her office (for appointments etc.) via phone at (707) 557-6245.

Dr Ma Rosario Gutierrez Exconde is licensed to practice in California (license number 50414) 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 1922196559.

Contact Information

	Dr Ma Rosario Gutierrez Exconde, DDS
	133 Plaza Dr, Suite R, Vallejo, CA 94591-3703
	(707) 557-6245
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ma Rosario Gutierrez Exconde
Gender	Female
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	133 Plaza Dr, Vallejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922196559
Provider Enumeration Date: 10/10/2006
Last Update Date: 03/03/2022

Medicare PECOS Information:

PECOS PAC ID: 3375938962
Enrollment ID: I20220317001221

Medical Identifiers

Medical identifiers for Dr Ma Rosario Gutierrez Exconde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922196559	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	50414 (California)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	50414 (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 Ma Rosario Gutierrez Exconde allows following entities to bill medicare on her behalf.

Entity Name	Maria T Alarcon Dds Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467955369 PECOS PAC ID: 0941564736 Enrollment ID: O20190219001910

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 Ma Rosario Gutierrez Exconde 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 Ma Rosario Gutierrez Exconde, DDS 490 Arguello Dr, Benicia, CA 94510-3987 Ph: (707) 747-1913	Dr Ma Rosario Gutierrez Exconde, DDS 133 Plaza Dr, Suite R, Vallejo, CA 94591-3703 Ph: (707) 557-6245

Reviews and Comments

Dentist in Vallejo, CA

Dr. Steve C. Dacasin, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 96 Springstowne Center, Suite A, Vallejo, CA 94591 Phone: 707-644-5528 Fax: 707-644-5529
Dr. Awa Alizadeh Ghannad, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 914 Admiral Callaghan Ln, Vallejo, CA 94591 Phone: 707-674-5437
Sandeep Kumar, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 3400 Sonoma Blvd, Vallejo, CA 94590 Phone: 707-554-4000
Eugene P Luna, DDS Dentist Medicare: Medicare Enrolled Practice Location: 415 Georgia St, Vallejo, CA 94590 Phone: 707-558-2000 Fax: 707-644-3507
Mark Watanabe, Dentist Medicare: Not Enrolled in Medicare Practice Location: 201 Walnut Ave, Vallejo, CA 94592 Phone: 707-562-8229
Dr. Noel Austria Fernandez, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2629 Springs Rd, Vallejo, CA 94591 Phone: 707-674-2777 Fax: 707-642-2890
Suzanne Clift, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 21 Rotary Way, Vallejo, CA 94591 Phone: 707-643-7654

Dr Ma Rosario Gutierrez Exconde, DDS - Medicare Dentist in Vallejo, CA