Dr Romeo Dipasupil, DDS in Jackson, CA - Medicare Dentist Provider

Dr Romeo Dipasupil, DDS is a medicare enrolled "Dentist - General Practice" provider in Jackson, California. His current practice location is 12150 New York Ranch Rd, Jackson, California. You can reach out to his office (for appointments etc.) via phone at (209) 257-2460.

Dr Romeo Dipasupil is licensed to practice in California (license number 37813) 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 1548470024.

Contact Information

	Dr Romeo Dipasupil, DDS
	12150 New York Ranch Rd, Jackson, CA 95642-9407
	(209) 257-2460
	(209) 257-2464

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Romeo Dipasupil
Gender	Male
Speciality	Dentist - General Practice
Location	12150 New York Ranch Rd, Jackson, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548470024
Provider Enumeration Date: 05/23/2007
Last Update Date: 08/31/2010

Medicare PECOS Information:

PECOS PAC ID: 2062764293
Enrollment ID: I20181016002171

Medical Identifiers

Medical identifiers for Dr Romeo Dipasupil such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548470024	NPI	-	NPPES
330759641	Other	CA	TAX IDENTIFICATION NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	37813 (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 Romeo Dipasupil allows following entities to bill medicare on his behalf.

Entity Name	Kamelia Mallak Dds Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285079129 PECOS PAC ID: 6901186824 Enrollment ID: O20180416002114

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 Romeo Dipasupil 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 Romeo Dipasupil, DDS Po Box 939, Angels Camp, CA 95222-0939 Ph: (209) 754-6240	Dr Romeo Dipasupil, DDS 12150 New York Ranch Rd, Jackson, CA 95642-9407 Ph: (209) 257-2460

Reviews and Comments

Dentist in Jackson, CA

Dr. Manuel Benjamin Lara-murillo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 15515 Daltons Dr, Jackson, CA 95642 Phone: 209-223-8460 Fax: 209-223-8464
Dr. Leon Roda Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 French Bar Rd, Suite 101, Jackson, CA 95642 Phone: 209-223-2712 Fax: 209-223-2719
Anh Ha, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2460
Ming-jye Yang, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 213-999-3019
Ronney Mihran Ask, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 100 French Bar Rd Ste 101, Jackson, CA 95642 Phone: 209-223-2712 Fax: 209-223-2719
Dr. Nina Tecson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 12150 New York Ranch Rd, Jackson, CA 95642 Phone: 209-257-2460 Fax: 209-257-2464
Mr. Stanley M Ordonez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 645 New York Ranch Rd, Jackson, CA 95642 Phone: 209-223-4434 Fax: 209-223-5857

Dr Romeo Dipasupil, DDS - Medicare Dentist in Jackson, CA