Luciana Castro, is a medicare enrolled "Dentist - General Practice" provider in Grass Lake, Michigan. Her current practice location is
11745 E Michigan Ave, Grass Lake, Michigan. You can reach out to her office (for appointments etc.) via phone at
(517) 522-5018.
Luciana Castro is licensed to practice in Michigan (license number 2901021271) 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 1710367636.
Healthcare Provider's Profile
Full Name | Luciana Castro |
---|
Gender | Female |
---|
Speciality | Dentist - General Practice |
---|
Location | 11745 E Michigan Ave, Grass Lake, Michigan |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1710367636
- Provider Enumeration Date: 06/05/2015
- Last Update Date: 06/05/2015
Medicare PECOS Information:
- PECOS PAC ID: 4385958339
- Enrollment ID: I20150804004834
Medical Identifiers
Medical identifiers for Luciana Castro such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1710367636 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 2901021271 (Michigan) | 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. Luciana Castro 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 |
Luciana Castro, 2143 Orchardview Dr, Ann Arbor, MI 48108 Ph: () - | Luciana Castro, 11745 E Michigan Ave, Grass Lake, MI 49240-9219 Ph: (517) 522-5018 |
Reviews and Comments