Dr Randall Wayne Stettler, DDS in La Mesa, CA

Dr Randall Wayne Stettler, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in La Mesa, California. His current practice location is 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, California. You can reach out to his office (for appointments etc.) via phone at (619) 463-4486.

Dr Randall Wayne Stettler is licensed to practice in California (license number 39089) 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 1124244686.

Contact Information

	Dr Randall Wayne Stettler, DDS
	5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020
	(619) 463-4486
	(619) 463-6553

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Randall Wayne Stettler
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	5565 Grossmont Center Dr, La Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124244686
Provider Enumeration Date: 04/17/2007
Last Update Date: 12/30/2013

Medicare PECOS Information:

PECOS PAC ID: 6800933540
Enrollment ID: I20091028000572

Medical Identifiers

Medical identifiers for Dr Randall Wayne Stettler such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124244686	NPI	-	NPPES
39089	Other	CA	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223S0112X	Dentist - Oral And Maxillofacial Surgery	39089 (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 Randall Wayne Stettler allows following entities to bill medicare on his behalf.

Entity Name	Emergency And Acute Care Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734

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 Randall Wayne Stettler 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 Randall Wayne Stettler, DDS 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020 Ph: (619) 463-4486	Dr Randall Wayne Stettler, DDS 5565 Grossmont Center Dr, Building 1, Suite 129, La Mesa, CA 91942-3020 Ph: (619) 463-4486

Reviews and Comments

Dentist in La Mesa, CA

Lyudvig Vaniyants, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 6062 Lake Murray Blvd, La Mesa, CA 91942 Phone: 619-461-1265 Fax: 619-461-1354
Dr. Dennis Michael O'brien, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5308 Lake Murray Blvd, Suite D, La Mesa, CA 91942 Phone: 619-337-2970
Dr. Federico Jesus Tiznado, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 7877 Parkway Dr Ste 2b, La Mesa, CA 91942 Phone: 619-463-6758 Fax: 619-463-6797
Dr. Jose Emmanuel Rubio De Luna, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5601 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-462-2272
Dr. Stephen Francis Mann, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 5308 Lake Murray Blvd, Suite B, La Mesa, CA 91942 Phone: 619-697-1021 Fax: 619-697-1650
Dr. Thomas Gregory Waddell, DDS Dentist Medicare: Medicare Enrolled Practice Location: 5565 Grossmont Center Dr, Suite 356, La Mesa, CA 91942 Phone: 619-461-1900 Fax: 619-461-6581
Yo Imai-marshall, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 3855 Avocado Blvd, Suite 200, La Mesa, CA 91941 Phone: 619-670-4018

Dr Randall Wayne Stettler, DDS - Medicare Dentist in La Mesa, CA