Dr Mauro Correa Jr, DMD is a medicare enrolled "Dentist - General Practice" provider in Ft Jackson, South Carolina. His current practice location is
4323 Hill Street, Usa Dental Health Activity, Ft Jackson, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 751-6209.
Dr Mauro Correa Jr is licensed to practice in South Carolina (license number 9466) 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 1063760213.
Healthcare Provider's Profile
Full Name | Dr Mauro Correa Jr |
---|
Gender | Male |
---|
Speciality | Dentist - General Practice |
---|
Location | 4323 Hill Street, Ft Jackson, South Carolina |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1063760213
- Provider Enumeration Date: 08/20/2012
- Last Update Date: 09/23/2019
Medicare PECOS Information:
- PECOS PAC ID: 2769818988
- Enrollment ID: I20200207000177
Medical Identifiers
Medical identifiers for Dr Mauro Correa Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063760213 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 22DI02506700 (New Jersey) | Secondary |
1223E0200X | Dentist - Endodontics | FC3508124 (New Jersey) | Secondary |
1223G0001X | Dentist - General Practice | 9466 (South Carolina) | 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 Mauro Correa Jr 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 Mauro Correa Jr, DMD 9900 Lincoln St Fl 2, Usa Dental Activity, Tacoma, WA 98431-0001 Ph: (253) 968-4029 | Dr Mauro Correa Jr, DMD 4323 Hill Street, Usa Dental Health Activity, Ft Jackson, SC 29207-6022 Ph: (803) 751-6209 |
Reviews and Comments