Dr Rex Dator De Asis, DMD in Lacey, WA - Medicare Dentist Provider

Dr Rex Dator De Asis, DMD is a medicare enrolled "Dentist" provider in Lacey, Washington. His current practice location is 5720 Ruddell Rd Se, # Unit B, Lacey, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 438-0805.

Dr Rex Dator De Asis is licensed to practice in Washington (license number DE00008248) 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 1891875514.

Contact Information

	Dr Rex Dator De Asis, DMD
	5720 Ruddell Rd Se, # Unit B, Lacey, WA 98503
	(360) 438-0805
	(360) 528-2219

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Rex Dator De Asis
Gender	Male
Speciality	Dentist
Location	5720 Ruddell Rd Se, Lacey, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891875514
Provider Enumeration Date: 10/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 6507222593
Enrollment ID: I20230517001906

Medical Identifiers

Medical identifiers for Dr Rex Dator De Asis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891875514	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	DE00008248 (Washington)	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 Rex Dator De Asis allows following entities to bill medicare on his behalf.

Entity Name	Great Mines Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376536953 PECOS PAC ID: 3072598143 Enrollment ID: O20041004000035

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 Rex Dator De Asis 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 Rex Dator De Asis, DMD 5720 Ruddell Rd Se, # Unit B, Lacey, WA 98503 Ph: (360) 438-0805	Dr Rex Dator De Asis, DMD 5720 Ruddell Rd Se, # Unit B, Lacey, WA 98503 Ph: (360) 438-0805

Reviews and Comments

Dentist in Lacey, WA

Dr. Ross Jagger Sapp, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4535 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-459-9657 Fax: 360-459-9652
Dr. Patrice Mary Yoder, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 669 Woodland Square Loop Se, Lacey, WA 98503 Phone: 360-359-4860 Fax: 360-359-4861
Kevin Carroll Moss, DMD MS PLLC Dentist Medicare: Not Enrolled in Medicare Practice Location: 5320 Corporate Center Loop Se, Suite A, Lacey, WA 98503 Phone: 360-491-7080 Fax: 360-491-7105
Clara Winona Brannan, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 719 Sleater Kinney Rd Se, Suite 130, Lacey, WA 98503 Phone: 360-455-1231
Dr. Jared D Persinger, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1607 Ruddell Rd Se, Lacey, WA 98503 Phone: 360-459-1600
Dr. Matthew D Wall, DDS, MSD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5320 Corporate Center Loop Se, Lacey, WA 98503 Phone: 360-491-7080
Dr. Herbert E Todd, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4445 Lacey Blvd Se, Lacey, WA 98503 Phone: 360-491-2532 Fax: 360-389-9565

Dr Rex Dator De Asis, DMD - Medicare Dentist in Lacey, WA