Dr Vicki C Petropoulos, DMD, MS in San Diego, CA

Dr Vicki C Petropoulos, DMD, MS is a medicare enrolled "Dentist - Prosthodontics" provider in San Diego, California. Her current practice location is 1525 4th Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 795-1301.

Dr Vicki C Petropoulos is licensed to practice in California (license number 62346) 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 1982883575.

Contact Information

	Dr Vicki C Petropoulos, DMD, MS
	1525 4th Ave, San Diego, CA 92101-3107
	(619) 795-1301
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Vicki C Petropoulos
Gender	Female
Speciality	Dentist - Prosthodontics
Location	1525 4th Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982883575
Provider Enumeration Date: 10/31/2007
Last Update Date: 11/22/2023

Medicare PECOS Information:

PECOS PAC ID: 3274979398
Enrollment ID: I20240312002245

Medical Identifiers

Medical identifiers for Dr Vicki C Petropoulos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982883575	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0700X	Dentist - Prosthodontics	DS0276299-L (Pennsylvania)	Secondary
1223P0700X	Dentist - Prosthodontics	62346 (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 Vicki C Petropoulos allows following entities to bill medicare on her behalf.

Entity Name	Centro De Salud De La Comunidad De San Ysidro, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711

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 Vicki C Petropoulos 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 Vicki C Petropoulos, DMD, MS Po Box 7308, Rancho Santa Fe, CA 92067-7308 Ph: (267) 342-0372	Dr Vicki C Petropoulos, DMD, MS 1525 4th Ave, San Diego, CA 92101-3107 Ph: (619) 795-1301

Reviews and Comments

Dentist in San Diego, CA

Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239
Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2050 El Cajon Blvd, San Diego, CA 92104 Phone: 619-637-9774
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135

Dr Vicki C Petropoulos, DMD, MS - Medicare Dentist in San Diego, CA