Dr Virginia Chan Castelo, DMD in Los Angeles, CA

Dr Virginia Chan Castelo, DMD is a medicare enrolled "Dentist - General Practice" provider in Los Angeles, California. Her current practice location is 5250 Santa Monica Blvd, Suite 210, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 666-3852.

Dr Virginia Chan Castelo is licensed to practice in California (license number 40554) 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 1124004742.

Contact Information

	Dr Virginia Chan Castelo, DMD
	5250 Santa Monica Blvd, Suite 210, Los Angeles, CA 90029
	(323) 666-3852
	(323) 666-1681

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Virginia Chan Castelo
Gender	Female
Speciality	Dentist - General Practice
Location	5250 Santa Monica Blvd, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124004742
Provider Enumeration Date: 12/15/2005
Last Update Date: 08/07/2019

Medicare PECOS Information:

PECOS PAC ID: 4981911666
Enrollment ID: I20150928001931

Medical Identifiers

Medical identifiers for Dr Virginia Chan Castelo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124004742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	40554 (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 Virginia Chan Castelo allows following entities to bill medicare on her behalf.

Entity Name	Virginia Castelo Dmd A Dental Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043528607 PECOS PAC ID: 1456669258 Enrollment ID: O20150928002334

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 Virginia Chan Castelo 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 Virginia Chan Castelo, DMD 5250 Santa Monica Blvd, Suite 210, Los Angeles, CA 90029 Ph: (323) 666-3852	Dr Virginia Chan Castelo, DMD 5250 Santa Monica Blvd, Suite 210, Los Angeles, CA 90029 Ph: (323) 666-3852

Reviews and Comments

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Dr Virginia Chan Castelo, DMD - Medicare Dentist in Los Angeles, CA