Julia Jane Ann Vidyakin, in Cape Girardeau, MO

Julia Jane Ann Vidyakin, is a medicare enrolled "Dentist" provider in Cape Girardeau, Missouri. Her current practice location is 408 S Broadview St, Cape Girardeau, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 332-0808.

Julia Jane Ann Vidyakin is licensed to practice in Missouri (license number 2022020735) 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 1356070890.

Contact Information

	Julia Jane Ann Vidyakin,
	408 S Broadview St, Cape Girardeau, MO 63703-5725
	(573) 332-0808
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Julia Jane Ann Vidyakin
Gender	Female
Speciality	Dentist
Location	408 S Broadview St, Cape Girardeau, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356070890
Provider Enumeration Date: 06/09/2022
Last Update Date: 10/23/2024

Medicare PECOS Information:

PECOS PAC ID: 4587045851
Enrollment ID: I20220718002160

Medical Identifiers

Medical identifiers for Julia Jane Ann Vidyakin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356070890	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	2022020735 (Missouri)	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. Julia Jane Ann Vidyakin allows following entities to bill medicare on her behalf.

Entity Name	Cross Trails Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356393268 PECOS PAC ID: 8820902851 Enrollment ID: O20031114000205

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. Julia Jane Ann Vidyakin 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
Julia Jane Ann Vidyakin, 408 S Broadview St, Cape Girardeau, MO 63703-5725 Ph: (573) 332-0808	Julia Jane Ann Vidyakin, 408 S Broadview St, Cape Girardeau, MO 63703-5725 Ph: (573) 332-0808

Reviews and Comments

Dentist in Cape Girardeau, MO

Dr. Ashley Wiest Mills, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: Ross A Bennett Dds Pc Bennett Family Dentistry, 989 N. Mount Auburn Rd., Cape Girardeau, MO 63701 Phone: 573-334-8013 Fax: 573-334-4101
Dr. Dominique Glennon Harter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646
Charlene L Minton, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 408 S Broadview St, Cape Girardeau, MO 63703 Phone: 573-332-0808 Fax: 573-339-7945
Randal Begley, Dentist Medicare: Medicare Enrolled Practice Location: 53 Doctors Park, Cape Girardeau, MO 63703 Phone: 573-335-0300
Philip Junho Lee, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3070 William St, Cape Girardeau, MO 63703 Phone: 573-290-3111
Dr. John Michael Freeze, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2857 Independence St, Cape Girardeau, MO 63703 Phone: 573-335-4646 Fax: 573-335-3340
Dr. Richard J Swartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1367 N Mount Auburn Rd, Cape Girardeau, MO 63701 Phone: 573-334-3131 Fax: 573-334-4275

Julia Jane Ann Vidyakin, - Medicare Dentist in Cape Girardeau, MO