Jerren Michael Alcalde, DDS in Shiprock, NM

Jerren Michael Alcalde, DDS is a medicare enrolled "Dentist" provider in Shiprock, New Mexico. His current practice location is Us Hwy 491 North, Shiprock, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 368-6001.

Jerren Michael Alcalde is licensed to practice in Virginia (license number 0401416334) 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 1164919304.

Contact Information

	Jerren Michael Alcalde, DDS
	Us Hwy 491 North, Shiprock, NM 87420
	(505) 368-6001
	(505) 368-6360

Map and Direction

Healthcare Provider's Profile

Full Name	Jerren Michael Alcalde
Gender	Male
Speciality	Dentist
Location	Us Hwy 491 North, Shiprock, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164919304
Provider Enumeration Date: 04/13/2018
Last Update Date: 02/06/2019

Medicare PECOS Information:

PECOS PAC ID: 2769836782
Enrollment ID: I20231016002871

Medical Identifiers

Medical identifiers for Jerren Michael Alcalde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164919304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	0401416334 (Virginia)	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. Jerren Michael Alcalde allows following entities to bill medicare on his behalf.

Entity Name	Southern Dominion Health System Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295706588 PECOS PAC ID: 0648188755 Enrollment ID: O20040611000631

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. Jerren Michael Alcalde 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
Jerren Michael Alcalde, DDS Po Box 160, Shiprock, NM 87420-0160 Ph: (505) 368-6001	Jerren Michael Alcalde, DDS Us Hwy 491 North, Shiprock, NM 87420 Ph: (505) 368-6001

Reviews and Comments

Dentist in Shiprock, NM

Dr. Mary Gail Murphy, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 N, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Dr. Melanie Anne Whalen, DMD Dentist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 336-716-3882
Jaime Martinez, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6001
Dr. Cielo Constanza Doherty, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6401 Fax: 505-368-6431
Rickey Shane Thompson, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 67420 Phone: 505-368-6401 Fax: 505-368-6431
Dr. Thomas Albert Korbitz, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Us Hwy 491 North, Shiprock, NM 87420 Phone: 505-368-6020 Fax: 505-368-6431

Jerren Michael Alcalde, DDS - Medicare Dentist in Shiprock, NM