Dr Wallace Ray Blackwelder, DDS - Medicare Dentist in Rowland Heights, CA

Dr Wallace Ray Blackwelder, DDS is a medicare enrolled "Dentist" provider in Rowland Heights, California. His current practice location is 19728 Colima Rd, Rowland Heights, California. You can reach out to his office (for appointments etc.) via phone at (909) 594-1758.

Dr Wallace Ray Blackwelder is licensed to practice in California (license number 031897) 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 1801915939.

Contact Information

Dr Wallace Ray Blackwelder, DDS
19728 Colima Rd,
Rowland Heights, CA 91748-3210
(909) 594-1758
(909) 594-4158

Map and Direction




Healthcare Provider's Profile

Full NameDr Wallace Ray Blackwelder
GenderMale
SpecialityDentist
Location19728 Colima Rd, Rowland Heights, California
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1801915939
  • Provider Enumeration Date: 03/28/2007
  • Last Update Date: 06/13/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6800188798
  • Enrollment ID: I20160713002460

Medical Identifiers

Medical identifiers for Dr Wallace Ray Blackwelder such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801915939NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 031897 (California)Primary

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 Wallace Ray Blackwelder 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 AddressPractice Location Address
Dr Wallace Ray Blackwelder, DDS
19728 Colima Rd,
Rowland Heights, CA 91748-3210

Ph: (909) 594-1758
Dr Wallace Ray Blackwelder, DDS
19728 Colima Rd,
Rowland Heights, CA 91748-3210

Ph: (909) 594-1758

Reviews and Comments


Dentist in Rowland Heights, CA

Dr. Kwang Seob Kim, D.D.S
Dentist
Medicare: Medicare Enrolled
Practice Location: 18250 Colima Rd, 201, Rowland Heights, CA 91748
Phone: 626-964-2875    Fax: 626-964-1033
Dr. Kevin C Kang, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18431 Colima Rd, Rowland Heights, CA 91748
Phone: 626-854-6060    Fax: 626-854-6062
Dr. Jennifer C Lee, D.D.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18431 Colima Rd, Rowland Heights, CA 91748
Phone: 626-854-6060    Fax: 626-854-6060
Dr. Kerry Lee, DDS
Dentist
Medicare: Medicare Enrolled
Practice Location: 18156 Colima Rd, Rowland Heights, CA 91748
Phone: 626-965-0971    
Sophia Chun Ling Peng, DMD
Dentist
Medicare: Medicare Enrolled
Practice Location: 18351 Colima Rd # 899, Rowland Heights, CA 91748
Phone: 626-715-3072    
Bailin Feng,
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 18736 Colima Rd, Rowland Heights, CA 91748
Phone: 626-898-3793    
Dr. Tina Feng-pei Sun, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1758 Sierra Leone Ave Ste C, Rowland Heights, CA 91748
Phone: 626-935-8600    Fax: 626-935-8604

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.